Tracy Ann Broderick
NPI #1477010395 in Newhall, California
Provider Information
- NPI Number
- 1477010395
- Entity Type
- Individual
- Name
- Tracy Ann Broderick
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Feb 27, 2019
- Last Updated
- Feb 27, 2019
Practice Location
- Address
- 24460 LYONS AVE
- City
- Newhall
- State
- California
- ZIP Code
- 91321-2347
- Phone
- (661) 253-9400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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