Individual
RANDALL DEAN MAYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1100 WALNUT ST, OWENSBORO, KY 42301-2956
(270) 689-6500
Mailing address
1205 WOODMERE LN, OWENSBORO, KY 42303-7588
(270) 316-0727
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2832
KY
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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