Individual
CHARLES RANDALL ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9600 VETERANS DR SW, A-122-SW-BLDG 148, TACOMA, WA 98493-2735
(253) 583-3178
(253) 583-3178
Mailing address
9600 VETERANS DR SW, A-122-SW-BLDG 148, TACOMA, WA 98493-2735
(253) 583-3178
(253) 589-4035
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
WA
1041C0700X
Clinical Social Worker
—
WA
Other
Enumeration date
04/21/2014
Last updated
03/05/2015
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