Individual
MS. ROSETTE LACRECIA RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
119 W 124TH ST, 6TH FLOOR, NEW YORK, NY 10027-4920
(917) 386-1799
(212) 865-2491
Mailing address
1655 FLATBUSH AVE, BROOKLYN, NY 11210-3276
(718) 513-6902
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
066766-1
NY
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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