Teresa A Souders, LCSW Valid NPI

Individual provider · Clinical Social Worker · Brodhead, WI

NPI

1407924004

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

8718-123 (WI)

Sex

Female

Sole proprietor

No

Enumerated

2006-12-01

Last updated

2024-10-08