Individual
MS. BRENDA S HARTMAN-SOUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
526 OAK ST., SYRACUSE, NY 13203
(315) 870-0154
Mailing address
526 OAK ST, SYRACUSE, NY 13203-1649
(315) 870-0154
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R042111-1
NY
Other
Enumeration date
12/18/2012
Last updated
03/08/2013
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