Individual
MR. BRODERICK EUGENE BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADAC
Contact information
Practice address
3400 LEBANON ROAD, MURFEESBORO, TN 37129
(615) 867-6000
Mailing address
3400 LEBANON ROAD, MURFEESBORO, TN 37129
(615) 867-6000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LDC0000000860
TN
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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