Individual
MISS CAROL ANN RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,LSW
Contact information
Practice address
503 N 21ST ST, CAMP HILL, PA 17011-2204
(717) 763-2855
Mailing address
1839 GREEN ST, APT. 306, HARRISBURG, PA 17102-2286
(717) 763-2855
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW009283L
PA
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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