Individual
MR. ROYCE DAVID RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1253 SEMINOLE ST, CLEARWATER, FL 33755-4347
(513) 316-7504
Mailing address
1253 SEMINOLE ST, CLEARWATER, FL 33755-4347
(513) 316-7504
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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