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Individual
MR. RANDALL ANTHONY RAMIREZ
Active
Individual
MR. RANDALL ANTHONY RAMIREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW MFT
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS9206
CA
106H00000X
Marriage & Family Therapist
MFC17052
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CGP#079075
CA CHILDRENS SERVICES
CA
Enumeration date
08/31/2006
Last updated
11/12/2011
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