Individual
MRS. CHRISTINA LEANN RANDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
19668 E RAVEN DR, QUEEN CREEK, AZ 85142
(316) 530-1362
Mailing address
19668 E RAVEN DR, QUEEN CREEK, AZ 85142-8757
(620) 481-9903
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
7453
KS
1041C0700X
Clinical Social Worker
Primary
17237
AZ
Other
Enumeration date
01/14/2011
Last updated
05/24/2018
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