Broderick, Jill Erin

Broderick, Jill Erin is an individual health care provider with primary practice located at 5776 Saint Augustine Rd , Jacksonville FL 32207-8030. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Broderick, Jill Erin can be contacted via phone (904) 448-4700.

Contact Information

Primary practice address
5776 Saint Augustine Rd Jacksonville FL 32207-8030
Phone: (904) 448-4700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1710178199
LBN Legal business name Broderick, Jill Erin
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2007
Last updated Aug 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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