Tashiko Lynn Bradshaw Broadhead LMSW

NPI 1013255603 - Social Worker - 104100000X

NPI Details
NPI 1013255603
Gender Female
Enumeration Date 01/17/2013
Last Updated 01/17/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
100 EMANCIPATION DR
HAMPTON VA, 23667-0001, US
Phone (757) 722-9961
Fax
Business Location
PO BOX 1344
NEWPORT NEWS VA, 23601-0344, US
Phone (757) 722-9961
Fax
Toxanomy
Taxonomy Code 104100000X
License State Tennessee
License Number LSW0000008851
Remove 1013255603 NPI Number
 

According to our database, Mrs. Tashiko Lynn Bradshaw Broadhead LMSW NPI is 1013255603, taxonomy code is 104100000X and license number is LSW0000008851, license state is located at Tennessee. Tashiko Lynn Bradshaw Broadhead LMSW physically located at 100 Emancipation Dr, Hampton VA, 23667-0001. NPI Number Tashiko Lynn Bradshaw Broadhead LMSW has the Individual type.

Sponsored links

1013255603 NPI number is provided on an as is basis without warranty of any kind. 1013255603 is maintained by the National Plan & Provider Enumeration System. The contents of Tashiko Lynn Bradshaw Broadhead LMSW are for informational purposes only.