Individual
RANDALL GILLISPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
5226 MURRAYHILL RD, CHARLOTTE, NC 28210-2321
(704) 200-5008
Mailing address
5226 MURRAYHILL RD, CHARLOTTE, NC 28210-2321
(720) 453-4530
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6482
KS
104100000X
Social Worker
991341
CO
Other
Enumeration date
07/12/2006
Last updated
12/04/2023
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