Individual
MR. RANDY SCOTT TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
7216 S MILLERS TALE DR, TUCSON, AZ 85706-8659
(520) 574-9169
Mailing address
7216 S MILLERS TALE DR, TUCSON, AZ 85706-8659
(520) 574-9169
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12001
AZ
1041C0700X
Clinical Social Worker
992322
CO
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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