Individual
CARLA RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CSAC
Contact information
Practice address
806 N 30TH ST, RICHMOND, VA 23223-6641
(804) 241-2324
Mailing address
806 N 30TH ST, RICHMOND, VA 23223-6641
(804) 241-2324
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009394
VA
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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