Individual
AQUANA REGINA RANDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
719 N FORK CT, KATY, TX 77450-3416
(850) 607-4737
Mailing address
719 N FORK CT, KATY, TX 77450-3416
(850) 607-4737
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT4442
FL
Other
Enumeration date
08/30/2022
Last updated
09/13/2022
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