REBECCA BROADDUS, LISW-S, LICDC
Social Worker - Clinical
Active
Individual
NPI: 1588190532
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | No | LICDC.162510 (OH) |
| Social Worker | 104100000X | No | S.1502432 (OH) |
| Social Worker - Clinical | 1041C0700X | Yes | I.2203547 (OH) |
Frequently Asked Questions
NPI 1588190532 is the National Provider Identifier for REBECCA BROADDUS, LISW-S, LICDC, a Social Worker - Clinical provider located in Shelby, OH. This NPI was enumerated on May 11, 2017.
REBECCA BROADDUS, LISW-S, LICDC practices at 2775 STATE ROUTE 39, Shelby, OH 44875.
Quick Facts
- NPI
- 1588190532
- Type
- Individual
- Enumerated
- May 11, 2017
- Last Updated
- Nov 21, 2024
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