Individual
JENNIFER LAUREN BROADRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
912 SUMMERTOWN HWY, HOHENWALD, TN 38462-5703
(931) 796-5916
Mailing address
912 SUMMERTOWN HWY, HOHENWALD, TN 38462-5703
(931) 796-5916
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/25/2011
Last updated
08/25/2011
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