Individual
RANDI NECOLE SENCIBOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, MAADC II
Contact information
Practice address
619 N BROADVIEW ST, CAPE GIRARDEAU, MO 63701-4313
(573) 334-3496
Mailing address
PO BOX 5, PERKINS, MO 63774-0005
(618) 806-3912
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2018031768
MO
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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