RANDY K SODERQUIST

FREDONIA, AZ
NPI1144368010
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  131852-3501)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: AZ  LCSW-12612)
Enumeration Date2007-02-02
Last Update Date2012-10-12
Business Address
-- RANDY K SODERQUIST LCSW
465 SOUTH MAIN
FREDONIA, AZ 86022
Phone number: 928-643-6000
Mailing Address
-- RANDY K SODERQUIST LCSW
465 SOUTH MAIN P.O. BOX 710
FREDONIA, AZ 86022
Phone number: 928-643-6000
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