Individual
KIMBERLY RAE SUDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
330 POYNTZ AVE STE 205, MANHATTAN, KS 66502-6194
(785) 629-3819
Mailing address
330 POYNTZ AVE STE 205, MANHATTAN, KS 66502-6194
(785) 629-3819
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05804
KS
Other
Enumeration date
02/26/2019
Last updated
12/05/2025
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