MR. Timothy Paul Suderman, LCSW
NPI #1376766188 in Tracy, California
Provider Information
- NPI Number
- 1376766188
- Entity Type
- Individual
- Name
- MR. Timothy Paul Suderman, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Apr 10, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 241 E 10TH ST STE D
- City
- Tracy
- State
- California
- ZIP Code
- 95376-4076
- Phone
- (209) 831-5941
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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