Organization
RANDALL THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA RANDALL LCSW-C (OWNER)
(443) 929-0062
Entity
Organization
Contact information
Practice address
2641 ASHLAND AVE FL 2, BALTIMORE, MD 21205-1642
(443) 522-0005
Mailing address
833 N LAKEWOOD AVE, BALTIMORE, MD 21205-1637
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
10/17/2019
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