Janis A Broadway, BA

NPI #1619190121 in Metropolis, Illinois

Provider Information

NPI Number: 1619190121
Entity Type: Individual
Name: Janis A Broadway, BA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: BA
Enumeration Date: Apr 11, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 206 W 5TH ST
City: Metropolis
State: Illinois
ZIP Code: 62960-1810
Phone: (618) 524-9368

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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