Individual
AMANDA RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW 28232
Contact information
Practice address
1660 E ROSEVILLE PKWY STE 100, ROSEVILLE, CA 95661-3988
(916) 878-4010
Mailing address
1660 E ROSEVILLE PKWY STE 100, ROSEVILLE, CA 95661-3988
(916) 878-4010
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW28232
CA
Other
Enumeration date
03/21/2007
Last updated
06/01/2022
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