Individual
MS. ELIZABETH A. SOUKUP-TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CSAC, CETP
Contact information
Practice address
406 CHATHAM SQUARE OFFICE PARK STE 102, FREDERICKSBURG, VA 22405-2585
(540) 850-4930
Mailing address
5601 CAMBRIDGE DR, FREDERICKSBURG, VA 22407-1264
(540) 850-4930
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009155
VA
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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