TIMOTHY PAUL SUDERMAN

TRACY, CA
NPI1376766188
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCS21102)
Enumeration Date2007-04-10
Last Update Date2007-07-08
Business Address
Mr. TIMOTHY PAUL SUDERMAN LCSW
241 E 10TH ST STE D
TRACY, CA 95376-4076
Phone number: 209-831-5941
Mailing Address
Mr. TIMOTHY PAUL SUDERMAN LCSW
3412 GRIMSHAW WAY
ELK GROVE, CA 95758-4594
Phone number: 916-683-9826