Organization
STEVEN JAMES RANDOLPH LCSW-ACSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN JAMES RANDOLPH LCSW-ACSW (MANAGING MEMBER)
(405) 476-5487
Entity
Organization
Contact information
Practice address
23 E 9TH ST, STE 321, SHAWNEE, OK 74801-6943
(405) 476-5487
(405) 521-9736
Mailing address
419 W GRAY ST, NORMAN, OK 73069-7117
(405) 329-7300
(405) 364-5379
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1523
OK
Other
Enumeration date
11/01/2016
Last updated
01/31/2017
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