Broderick Pierre Clark, MASTERINSOCIALWOR
Broderick Pierre Clark, MASTERINSOCIALWOR is an Addiction (Substance Use Disorder) Counselor in Colorado Springs, Colorado. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
2565 Airport RdColorado Springs, CO 80910-3119
Phone: (719) 632-3510
Fax: (719) 632-3534
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1659911402 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MASTERINSOCIALWOR |
| Sole proprietor | No |
| NPI enumerated | January 9, 2020 |
| Last updated in NPPES | January 9, 2020 |
| Certification date | January 9, 2020 |
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