Individual
MS. DEBRA A BROUGHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CAADC
Contact information
Practice address
1530 NICHOLS RD, KALAMAZOO, MI 49006-2065
(269) 343-6700
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(269) 273-5000
(269) 273-8019
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801087888
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1708146
—
MI
Enumeration date
02/27/2007
Last updated
09/21/2020
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