Individual
ANNA M RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
617 VETERANS BLVD STE 107, REDWOOD CITY, CA 94063-1404
(650) 888-9640
Mailing address
617 VETERANS BLVD STE 107, REDWOOD CITY, CA 94063-1404
(650) 888-9640
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
70711
CA
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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