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Organization
MICKALA RANDBY, PLLC
Active
Organization
MICKALA RANDBY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICKALA RANDBY LCSW (OWNER)
(708) 328-8461
Entity
Organization
Contact information
Practice address
1310 PRAIRIE DR, ALGONQUIN, IL 60102-4251
(708) 328-8461
Mailing address
1310 PRAIRIE DR, ALGONQUIN, IL 60102-4251
(708) 328-8461
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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