Individual
ANDRIA SODERQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
465 S MAIN ST, FREDONIA, AZ 86022-0200
(435) 619-7686
Mailing address
1571 W CREEKSIDE DR, KANAB, UT 84741-1209
(435) 689-1252
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-20076
AZ
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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