Individual
DR. GEORGE RANDALL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6819 REISTERSTOWN RD STE 203, BALTIMORE, MD 21215-1418
(443) 438-4584
(443) 835-2037
Mailing address
1018 WOODSON RD APT A, BALTIMORE, MD 21212-2896
(443) 750-5500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14329
MD
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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