Individual
MS. BRENDA E. WALKER RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
99 MAIN ST, NYACK, NY 10960-3109
(914) 391-2847
Mailing address
28 MIDWAY RD, CHESTNUT RIDGE, NY 10977-7013
(914) 391-2847
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
070720
NY
1041C0700X
Clinical Social Worker
44SC04859200
NJ
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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