Duane Broderick
Duane Broderick is a Mental Health Counselor in Burley, Idaho. Licensed in Idaho. Registered with an NPI since 2011.
- Licensed in
- ID
- In the registry since
- 2011
Practice location Address checks out
2311 Parke Ave Ste 8Burley, ID 83350
Phone: (208) 878-3350
Fax: (208) 878-3351
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence LMSW3064 (ID) |
|---|
Record details
| NPI number | 1285921643 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 6, 2011 |
| Last updated in NPPES | July 6, 2011 |
| Mailing address | 2311 Parke Ave., Ste. 8, Burley, ID 83350 |
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