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Suzanne Souders Lcsw PLLC

Clinic/Center in Kilmarnock, VA. Organization (NPI-2).

NPI number1164073813
StatusActive
Last updated in NPPESSep 24, 2019

Details

NPI
1164073813
Entity type
Organization (NPI-2)
Legal business name
Suzanne Souders Lcsw PLLC
Organization subpart
No
Enumeration date
Sep 24, 2019
Last updated
Sep 24, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

25 Office Park Dr Ste 2
Kilmarnock, VA 22482-2805

Phone 804-577-0186

Mailing address

Po Box 1663
Kilmarnock, VA 22482-1663

Authorized official

M Suzanne Souders
Owner
8045770186

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