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Edwin Charles Broadnax
School Social Worker in Riverside, California
NPI 1518248640

Edwin Charles Broadnax is a School Social Worker based in Riverside, CA and is specialized in School. Edwin Charles Broadnax practices in Riverside, CA. The NPI Number for Edwin Charles Broadnax is 1518248640 and holds a License No. 104100000X (California).

The current practice location address for Edwin Charles Broadnax is 3801 University Avenue, Suite 400, Riverside, CA and can be reached out via phone at 951-955-7108.

Location: 3801 University Avenue, Suite 400, Riverside, CA, 92501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518248640
Provider Name
Edwin Charles Broadnax
Credential
Provider Entity Type
Individual
Gender
Male
Address
3801 University Avenue, Suite 400, Riverside, CA, 92501
Phone Number
951-955-7108
Fax Number
Provider Enumeration Date
09/02/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3801 University Avenue, Suite 400
City
Riverside
State
California
Zip
92501
Phone Number
951-955-7108
Fax Number
person
Provider Business Mailing Address Details
Address
3801 University Avenue, Suite 400
City
Riverside
State
California
Zip
92501
Phone Number
951-955-7108
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
School
Taxonomy
1041S0200X
License No.
104100000X (California)
Definition
Definition to come...
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