Individual
BRODERICK ALLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 N SAGINAW RD, MIDLAND, MI 48640-3350
(989) 495-8999
(989) 423-1525
Mailing address
1990 E 120TH ST APT 4, CLEVELAND, OH 44106-1982
(989) 751-6325
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/24/2018
Last updated
12/05/2022
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