Individual
RANDALL EARL HACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LGSW
Contact information
Practice address
1005 WHITE WILLOW WAY, MORGANTOWN, WV 26505-6119
(304) 212-7538
Mailing address
94 WESTERN AVE, MORGANTOWN, WV 26501-4100
(304) 439-5827
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BP00946730
WV
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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