Virginia Lee Broderick
Virginia Lee Broderick is a Clinical Social Worker in Jackson, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2018
Practice location Address checks out
1200 N West AveJackson, MI 49202-2179
Phone: (517) 315-7522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 6801081103 (MI) |
|---|
Record details
| NPI number | 1750868618 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 24, 2018 |
| Last updated in NPPES | July 24, 2018 |
| Mailing address | 1200 N West Ave, Jackson, MI 49202-2179 |
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