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Individual

MRS. CHRISTINA LEANN RANDLE

Active
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Individual

MRS. CHRISTINA LEANN RANDLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSCSW

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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