| 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 |