Individual
JENNIFER SUSETTE RANDLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
RR 1 BOX 131C, EUFAULA, OK 74432-9223
(918) 441-0653
(918) 452-3939
Mailing address
RT. 1 BOX 131-C, EUFAULA, OK 74432
(918) 441-0653
(918) 452-3939
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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