Organization
SUZANNE SOUDERS LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
M SUZANNE SOUDERS LCSW (OWNER)
(804) 577-0186
Entity
Organization
Contact information
Practice address
25 OFFICE PARK DR STE 2, KILMARNOCK, VA 22482-2805
(804) 577-0186
Mailing address
PO BOX 1663, KILMARNOCK, VA 22482-1663
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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