Individual
RANDI OWSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
990 N CHASTAIN LN, EAGLE, ID 83616-6202
(415) 971-6645
Mailing address
PO BOX 2221, EAGLE, ID 83616-9113
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
ASW81649
CA
Other
Enumeration date
09/27/2016
Last updated
12/04/2018
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