Individual
KATI LOUISE RANDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7380 ATWOOD AVE, LAS VEGAS, NV 89129
(702) 468-4946
Mailing address
7380 ATWOOD AVE, LAS VEGAS, NV 89129-6222
(702) 468-4946
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
IC-1269
NV
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
03/19/2011
Last updated
08/21/2018
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