Randy K Soderquist, LCSW

NPI #1144368010 in Fredonia, Arizona

Provider Information

NPI Number: 1144368010
Entity Type: Individual
Name: Randy K Soderquist, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Feb 2, 2007
Last Updated: Oct 12, 2012

Practice Location

Address: 465 SOUTH MAIN
City: Fredonia
State: Arizona
ZIP Code: 86022
Phone: (928) 643-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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