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Individual

MRS. VERGIA HEADSPETH-RANDOLPH

Active
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Individual

MRS. VERGIA HEADSPETH-RANDOLPH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
04264
MD
174H00000X
Health Educator
OT100000126
DC
225X00000X
Occupational Therapist
Primary
100000126
DC
225X00000X
Occupational Therapist
OT100000126
DC

Other

Enumeration date
06/30/2010
Last updated
01/19/2025
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