Individual
MS. THEODORA LUGENE RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3514 E TROPICANA AVE STE 2C, LAS VEGAS, NV 89121-7351
(029) 923-2897
Mailing address
2101 W WARM SPRINGS RD APT 3916, HENDERSON, NV 89014-5520
(702) 544-9454
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CI5305
NV
Other
Enumeration date
02/15/2013
Last updated
10/13/2023
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