Individual
DANIELLE RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 E BOGART RD, SANDUSKY, OH 44870-6411
(419) 627-3900
Mailing address
1210 E BOGART RD, SANDUSKY, OH 44870-6411
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH3107972
OH
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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