Individual
MS. EMILY GRIFFIN BRODEUR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LICENSED CLINICAL SO
Contact information
Practice address
524 E IRIS DR, NASHVILLE, TN 37204-3110
(615) 297-0430
(615) 352-1420
Mailing address
524 E IRIS DR, NASHVILLE, TN 37204-3110
(615) 297-0430
(615) 352-1420
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
000679
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0171951000
MAGELLAN
—
05
—
3694828
—
TN
01
—
4048148
BLUE CROSS
TN
Enumeration date
06/05/2006
Last updated
07/08/2007
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