Individual
MRS. KELLY L BRODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.G.P.C
Contact information
Practice address
6501 N CHARLES ST, TOWSON, MD 21204-6819
(410) 938-3821
Mailing address
6501 N CHARLES ST, TOWSON, MD 21204-6819
(410) 938-3821
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP6409
MD
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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