Emily Nicole Broad, LSW

NPI #1043725971 in Moraine, Ohio

Provider Information

NPI Number: 1043725971
Entity Type: Individual
Name: Emily Nicole Broad, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LSW
Enumeration Date: Dec 14, 2017
Last Updated: Aug 20, 2021

Practice Location

Address: 3095 KETTERING BLVD
City: Moraine
State: Ohio
ZIP Code: 45439-1983
Phone: (937) 293-8300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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