Individual
EMILEE SODERQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33 MADISON PROFESSIONAL PARK, REXBURG, ID 83440-2057
(208) 243-9304
Mailing address
33 MADISON PROFESSIONAL PARK, REXBURG, ID 83440-2057
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8871458
ID
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
About Stedi
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