Individual
MRS. HOLLY NICOLE RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4066 E MONSANTO DR UNIT E, SIERRA VISTA, AZ 85650-8512
(520) 335-6118
Mailing address
3806 E SHAWNEE DR, SIERRA VISTA, AZ 85650-9637
(615) 961-3017
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-20787
AZ
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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