Individual
MARIA RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3240 MAGNOLIA LEAF DR, HERNANDO, MS 38632-2497
(901) 351-4327
Mailing address
3240 MAGNOLIA LEAF DR, HERNANDO, MS 38632-2497
(901) 351-4327
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW00000007044
TN
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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