Individual
CYNTHIA NICOLE RANDLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
415 N HIGGINS AVE, SUITE 122, MISSOULA, MT 59802-4557
(406) 203-6937
(844) 965-9168
Mailing address
415 N HIGGINS AVE, SUITE 122, MISSOULA, MT 59802-4557
(406) 203-6937
(844) 965-9168
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7134
MT
Other
Enumeration date
01/08/2014
Last updated
12/04/2015
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