Organization
RANDALL BADGEROW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL LEE BADGEROW BS, CADC-M (THERAPIST)
(989) 316-5160
Entity
Organization
Contact information
Practice address
613 30TH ST, BAY CITY, MI 48708-8529
(989) 316-5160
(989) 671-9108
Mailing address
613 30TH ST, BAY CITY, MI 48708-8529
(989) 316-5160
(989) 671-9108
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-0450
MI
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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