Individual
RANDY STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, CSW
Contact information
Practice address
104 S FRONT AVE, PRESTONSBURG, KY 41653-1614
(606) 886-8572
(606) 884-4433
Mailing address
104 S FRONT AVE, PRESTONSBURG, KY 41653-1614
(606) 886-8572
(606) 884-4433
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
11/15/2019
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