Clara Susanne Broderick, SSW
Clara Susanne Broderick, SSW is a Social Worker in Provo, Utah. Licensed in Utah. Registered with an NPI since 2006.
- Licensed in
- UT
- In the registry since
- 2006
Practice location Address checks out
750 N 200 WProvo, UT 84601
Phone: (801) 373-4760
Fax: (801) 373-0639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence 5337611 3503 (UT) |
|---|
Record details
| NPI number | 1720199540 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | SSW |
| Sole proprietor | No |
| NPI enumerated | August 31, 2006 |
| Last updated in NPPES | July 8, 2007 |
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