Individual
RANDI INNAMARATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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