MS. Terri Lynn Sudol, M.S.W., L.C.S.W.

NPI #1316001621 in Hayden, Idaho

Provider Information

NPI Number: 1316001621
Entity Type: Individual
Name: MS. Terri Lynn Sudol, M.S.W., L.C.S.W.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: M.S.W., L.C.S.W.
Enumeration Date: Dec 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 10615 N GOVERNMENT WAY STE 206
City: Hayden
State: Idaho
ZIP Code: 83835-8027
Phone: (208) 755-5188

Specialties & Taxonomy Codes

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

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