MS. MARIEILLE BROADNAX, L.P.C.
Counselor - Professional
Active
Individual
NPI: 1780795104
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | Yes | 6401008550 (MI) |
Frequently Asked Questions
NPI 1780795104 is the National Provider Identifier for MS. MARIEILLE BROADNAX, L.P.C., a Counselor - Professional provider located in Detroit, MI. This NPI was enumerated on August 31, 2006.
MS. MARIEILLE BROADNAX, L.P.C. practices at 2051 W GRAND BLVD, Detroit, MI 48208.
Quick Facts
- NPI
- 1780795104
- Type
- Individual
- Enumerated
- Aug 31, 2006
- Last Updated
- Jul 8, 2007
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