Individual
MRS. STEPHANIE CATHERINE VIDAURRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
498 CHALAN PALOSYO, GUAM VA CBOC, AGANA HEIGHTS, GU 96910-6427
(671) 475-5800
Mailing address
8 ANAE LN, SANTA RITA, GU 96915-1433
(671) 564-1789
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 3734
HI
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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