Quam, Elise Broderick

Quam, Elise Broderick is an individual health care provider with primary practice located at 3450 Oleary Ln , Eagan MN 55123. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Quam, Elise Broderick can be contacted via phone (651) 454-0114.

Contact Information

Primary practice address
3450 Oleary Ln Eagan MN 55123
Phone: (651) 454-0114
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 25498 Minnesota

Profile Details

NPI number 1891269155
LBN Legal business name Quam, Elise Broderick
Credentials MSW, LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2019
Last updated Jan 18th, 2019 - about 7 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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