Individual
KOBE BRANDON RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
217 GREENLAWN DR, KERNERSVILLE, NC 27284-9498
(336) 528-2317
Mailing address
217 GREENLAWN DR, KERNERSVILLE, NC 27284-9498
(336) 528-2317
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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