Individual
MS. TERRI LYNN SUDOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W., L.C.S.W.
Contact information
Practice address
10615 N GOVERNMENT WAY STE 206, HAYDEN, ID 83835-8027
(208) 755-5188
(208) 772-2533
Mailing address
10615 N GOVERNMENT WAY, HAYDEN, ID 83835-7473
(208) 755-5188
(208) 772-2533
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-1215
ID
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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