Search › Colorado › 101YA0400X
Broderick Clark, MASTER IN SOCIAL WOR
NPI 1659911402 · on the registry since 2020
Practice
- Address
- 2565 Airport Rd
Colorado Springs, CO 80910 - Phone
- (719) 632-3510
- Fax
- (719) 632-3534
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Sex
- Male
- Record last updated
- 2020-01-09
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 Colorado