Individual
JENNIFER E BROUGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(067) 733-0188
Mailing address
122 LECOMPTE AVE, NORTH AUGUSTA, SC 29841-3032
(434) 770-7975
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
086698-1
NY
1041C0700X
Clinical Social Worker
Primary
0904009883
VA
1041C0700X
Clinical Social Worker
LC50081235
DC
Other
Enumeration date
04/06/2018
Last updated
11/28/2022
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