Individual
MRS. KRISTIN KATHLEEN BRODERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCM
Contact information
Practice address
100 OWINGS COURT, SUITE 8, REISTERSTOWN, MD 21136
(410) 526-7100
(410) 526-7138
Mailing address
10400 RIDGLAND ROAD, STE 1, COCKEYSVILLE, MD 21030
(410) 628-6120
(410) 628-9825
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000635
PA
Other
Enumeration date
01/05/2012
Last updated
08/25/2014
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