Individual
THYRA BROADNAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
318 E BASIN RD, NEW CASTLE, DE 19720-4214
(302) 323-2700
Mailing address
318 E BASIN RD, NEW CASTLE, DE 19720-4214
(302) 323-2700
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
266359
DE
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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