Individual
KELLY SOUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
14519 E 20TH CT, SPOKANE VALLEY, WA 99037-9471
(860) 213-6607
Mailing address
14519 E 20TH CT, SPOKANE VALLEY, WA 99037-9471
(860) 213-6607
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
009820
CT
1041C0700X
Clinical Social Worker
Primary
LW60915408
WA
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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