Julie Broderick Green LCSW MFT MA

NPI 1386702637 - Social Worker - 1041C0700X

NPI Details
NPI 1386702637
Gender Female
Enumeration Date 12/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1635 CENTRAL AVENUE
SOUTHWEST CONNECTICUT MENTAL HEALTH SYSTEM
BRIDGEPORT CT, 06610, US
Phone (203) 551-7660
Fax (203) 551-7481
Business Location
1635 CENTRAL AVENUE ROOM 214
SOUTHWEST CT MENTAL HEALTH SYSTEM
BRIDGEPORT CT, 06610, US
Phone (203) 551-7660
Fax (203) 551-7481
Toxanomy
Taxonomy Code 1041C0700X
License State Connecticut
License Number 004824
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According to our database, Ms. Julie Broderick Green LCSW MFT MA NPI is 1386702637, taxonomy code is 1041C0700X and license number is 004824, license state is located at Connecticut. Julie Broderick Green LCSW MFT MA physically located at 1635 Central Avenue, Bridgeport CT, 06610. NPI Number Julie Broderick Green LCSW MFT MA has the Individual type.

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1386702637 NPI number is provided on an as is basis without warranty of any kind. 1386702637 is maintained by the National Plan & Provider Enumeration System. The contents of Julie Broderick Green LCSW MFT MA are for informational purposes only.