Individual
CALLIE RANDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1500 W ASHLAND ST, NEVADA, MO 64772-1710
(417) 667-2666
(417) 448-5606
Mailing address
1500 W ASHLAND ST, NEVADA, MO 64772-1710
(417) 667-2666
(417) 448-5606
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2014019407
MO
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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