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Individual

VIRGINIA RANDALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
X

Contact information

Practice address
1200 SALISBURY RD, MOCKSVILLE, NC 27028-9302
(336) 751-5921
Mailing address
177 W KINDERTON WAY APT 203, ADVANCE, NC 27006-7393

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary

Other

Enumeration date
02/10/2026
Last updated
02/10/2026
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