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Individual
RANDALL CRAIG HAINES
Active
Individual
RANDALL CRAIG HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW136399
PA
1041C0700X
Clinical Social Worker
Primary
CW024083
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW136399
FEDERAL VA EMPLOYEE
PA
Enumeration date
02/27/2023
Last updated
01/14/2026
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