Individual
RANDOLPH J PAXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
3540 W DOUGLAS AVE, WICHITA, KS 67203-5455
(316) 943-2051
(316) 943-2192
Mailing address
900 E LAHARPE ST, KIRKSVILLE, MO 63501-4520
(660) 665-1962
(660) 665-3989
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7952
KS
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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