Individual
MRS. DIANE DILLARD BROADNAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2570 SHERMAN AVE NW, WASHINGTON, DC 20001-2299
(202) 232-6100
(202) 483-4560
Mailing address
13256 MANOR TER, MOUNT AIRY, MD 21771-3952
(301) 829-3371
(301) 829-3391
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC301533
DC
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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