Individual
KATIE BROEDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
401 10TH AVE, MENOMINEE, MI 49858-3009
(906) 863-7841
Mailing address
731 OAK ST APT 8, PESHTIGO, WI 54157-1721
(906) 241-8226
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6852093364
MI
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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