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Shannon Broderick
Professional Counselor in Westport, Connecticut
NPI 1912679481

Shannon Broderick is a Professional Counselor based in Milford, CT and is specialized in Professional. Shannon Broderick practices in Westport, CT. The NPI Number for Shannon Broderick is 1912679481 and holds a License No. 5124 (Connecticut).

The current practice location address for Shannon Broderick is 8 Myrtle Ave, Westport, CT and can be reached out via phone at 203-916-4673.

Location: 8 Myrtle Ave, Westport, CT, 06461-2150
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Provider Profile Details
NPI Number
1912679481
Provider Name
Shannon Broderick
Credential
Provider Entity Type
Individual
Gender
Female
Address
8 Myrtle Ave, Westport, CT, 06461-2150
Phone Number
203-916-4673
Fax Number
Provider Enumeration Date
10/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8 Myrtle Ave
City
State
Zip
06880-3511
Phone Number
203-916-4673
Fax Number
person
Provider Business Mailing Address Details
Address
8 Myrtle Ave
City
State
Zip
06880-3511
Phone Number
203-916-4673
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
5124 (Connecticut)
Definition
Definition to come...
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