Individual
ANDREA RANDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 CHIMNEY POINT DR, OGDENSBURG, NY 13669-2212
(315) 541-2539
(315) 541-2089
Mailing address
1 CHIMNEY POINT DR, OGDENSBURG, NY 13669-2212
(315) 541-2539
(315) 541-2089
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
071288-1
NY
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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