Randy K Soderquist, LCSW | |
465 South Main, Fredonia, AZ 86022 | |
(928) 643-6000 | |
Not Available |
Full Name | Randy K Soderquist |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 465 South Main, Fredonia, Arizona |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144368010 | NPI | - | NPPES |
131852-3501 | Other | UT | STATE LICENSE |
LCSW-12612 | Other | AZ | STATE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 131852-3501 (Utah) | Primary |
1041C0700X | Social Worker - Clinical | LCSW-12612 (Arizona) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Randy K Soderquist, LCSW 465 South Main, P.o. Box 710, Fredonia, AZ 86022 Ph: (928) 643-6000 | Randy K Soderquist, LCSW 465 South Main, Fredonia, AZ 86022 Ph: (928) 643-6000 |
Jeffrey Janes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 465 S Main St, Fredonia, AZ 86022 Phone: 702-701-3806 | |
Andria Soderquist, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 465 S Main St, Fredonia, AZ 86022 Phone: 435-619-7686 |