Individual
RANDY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW-PIP, QMHP
Contact information
Practice address
350 ELK ST, RAPID CITY, SD 57701-7351
(605) 343-7262
(605) 343-7293
Mailing address
425 E PHILADELPHIA ST, RAPID CITY, SD 57701-1648
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-PIP1371
SD
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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