Individual
BLAIR V SOUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
235 BRICK RD, OXFORD, PA 19363-1566
(267) 772-0148
Mailing address
235 BRICK RD, OXFORD, PA 19363-1566
(267) 772-0148
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC012885
PA
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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