Individual
ERIN MARIE RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
43155 MAIN ST STE 2316, NOVI, MI 48375-1781
(734) 673-9522
Mailing address
16449 FAIRWAY ST, LIVONIA, MI 48154-2111
(313) 515-2045
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801096807
MI
1041C0700X
Clinical Social Worker
—
MI
Other
Enumeration date
01/24/2019
Last updated
11/17/2021
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