LAVONTI BROUGHTON
Social Worker - Clinical
Active
Individual
NPI: 1104661750
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | - |
Frequently Asked Questions
NPI 1104661750 is the National Provider Identifier for LAVONTI BROUGHTON, a Social Worker - Clinical provider located in Charleston, SC. This NPI was enumerated on June 26, 2024.
LAVONTI BROUGHTON practices at 109 BEE ST, Charleston, SC 29401.
Quick Facts
- NPI
- 1104661750
- Type
- Individual
- Enumerated
- Jun 26, 2024
- Last Updated
- Jun 26, 2024
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