Individual
MR. RANDOLPH S IMHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
500 S WASHINGTON ST, SUITE 1, CARTHAGE, NY 13619-1534
(315) 493-4900
(315) 493-4909
Mailing address
500 S WASHINGTON ST, SUITE 1, CARTHAGE, NY 13619-1534
(315) 493-4900
(315) 493-4909
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000295
NY
Other
Enumeration date
06/01/2006
Last updated
07/08/2007
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