Organization
DEBORAH RANDOLPH, LCSW, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH KAY RANDOLPH LCSW (PRESIDENT)
(405) 509-1384
Entity
Organization
Contact information
Practice address
1441 NW 150TH ST, EDMOND, OK 73013-1305
(405) 509-1384
(405) 563-9416
Mailing address
1441 NW 150TH ST, EDMOND, OK 73013-1305
(405) 509-1384
(405) 563-9416
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1766
OK
Other
Enumeration date
08/01/2011
Last updated
08/28/2013
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