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Individual

AMY BRODERICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
QBHP

Contact information

Practice address
707 N CARDINAL DR STE 7, MOUNTAIN HOME, AR 72653-3274
(870) 425-5644
Mailing address
711 BRADLEY DR, MOUNTAIN HOME, AR 72653-2733

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
27942-M
AR
373H00000X
Day Training/Habilitation Specialist

Other

Enumeration date
11/17/2009
Last updated
12/04/2025
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