Individual
MR. RANDALL DAVID VOGELSANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW, ACSW
Contact information
Practice address
800 W NORTHERN AVE, COOLIDGE, AZ 85228-4000
(520) 723-2144
Mailing address
800 W NORTHERN AVE, COOLIDGE, AZ 85228-4000
(520) 723-2144
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-11815
AZ
Other
Enumeration date
08/12/2007
Last updated
08/12/2007
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