TERRI LYNN SUDOL

HAYDEN, ID
NPI1316001621
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-1215)
Enumeration Date2006-12-20
Last Update Date2007-07-08
Business Address
Ms. TERRI LYNN SUDOL M.S.W., L.C.S.W.
10615 N GOVERNMENT WAY STE 206
HAYDEN, ID 83835-8027
Phone number: 208-755-5188
Mailing Address
Ms. TERRI LYNN SUDOL M.S.W., L.C.S.W.
10615 N GOVERNMENT WAY
HAYDEN, ID 83835-7473
Phone number: 208-755-5188
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