Individual
MS. KARON EAGAN RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1739 JOHNSON RD NE, ATLANTA, GA 30306-3107
(404) 876-5042
Mailing address
1739 JOHNSON RD NE, ATLANTA, GA 30306-3107
(404) 876-5042
(678) 681-0585
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
537
GA
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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