MR. William D Souther, MSW, LICSW
NPI #1649315466 in North Branch, Minnesota
Provider Information
- NPI Number
- 1649315466
- Entity Type
- Individual
- Name
- MR. William D Souther, MSW, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW, LICSW
- Enumeration Date
- Feb 20, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 5833 PECAN ST
- Address 2
- SUITE A2
- City
- North Branch
- State
- Minnesota
- ZIP Code
- 55056-6689
- Phone
- (651) 237-0628
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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