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Search › Massachusetts › 1041C0700X

Kelly Broderick, LICSW

NPI 1407193758 · on the registry since 2013 · sole proprietor

Practice

Address
152 Lynnway Ste 2c
Lynn, MA 01902
Phone
(617) 982-3996
Organisation at this address
Dostert And Dove,Llc
Bagdonas Dental Pllc
Dostert And Dove,Llc
Atlantic Coast Ophthalmology, P.C.
Aeon Nonprofit Training Associates, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
171M00000X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-05-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts