Individual
MRS. RANDY M WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4545 E SHEA BLVD, SUITE 235, PHOENIX, AZ 85028-3074
(602) 242-5400
(602) 277-1076
Mailing address
4545 E SHEA BLVD, SUITE 235, PHOENIX, AZ 85028-3074
(602) 242-5400
(602) 277-1076
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW10054
AZ
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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