Individual
RANDY SONGIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3407 LAKE JEAN DR, ORLANDO, FL 32817-2329
(407) 580-0559
Mailing address
3407 LAKE JEAN DR, ORLANDO, FL 32817-2329
(407) 580-0559
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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