Individual
TROY DAVID RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2356 N 400 E STE 203, TOOELE, UT 84074-3409
(435) 850-2547
(435) 843-7438
Mailing address
323 LEGACY LN, GRANTSVILLE, UT 84029-3300
(435) 850-8471
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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