Individual
MADISON RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27943 SECO CANYON RD # 431, SANTA CLARITA, CA 91350-3872
(818) 212-4693
Mailing address
27943 SECO CANYON RD # 431, SANTA CLARITA, CA 91350-3872
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
34903
CA
Other
Enumeration date
06/16/2021
Last updated
11/08/2024
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