Individual
CHARONNE MONIIQUE RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
1300 MERCANTILE LN STE 198, UPPER MARLBORO, MD 20774-5339
(301) 386-2991
Mailing address
7541 PELHAM WAY, HANOVER, MD 21076-1070
(443) 986-1378
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15357
MD
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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