Organization
EUFAULA LAKE FAMILY DEVELOPMENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY DUANE RANDLEMAN PH. D. (PRESIDENT/CEO)
(918) 452-3335
Entity
Organization
Contact information
Practice address
RR 1 BOX 131-C, EUFAULA, OK 74432-9223
(918) 452-3335
Mailing address
RR 1 BOX 131-C, EUFAULA, OK 74432-9223
(918) 452-3335
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
825
OK
Other
Enumeration date
11/02/2006
Last updated
08/22/2020
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