Individual
MR. RANDALL LYKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0310
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0310
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33000360A
IN
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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