Antonio Demarcus Broadway Sr.
Antonio Demarcus Broadway Sr. is a Counselor in Baton Rouge, Louisiana. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
5810 McCann DrBaton Rouge, LA 70809-4149
Phone: (225) 221-7831
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Counselor | Taxonomy 101Y00000X |
Record details
| NPI number | 1538672399 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 14, 2017 |
| Last updated in NPPES | June 16, 2018 |
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