Individual
RANDALL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2400 HOSPITAL RD, TUSKEGEE, AL 36083-5001
(334) 727-0550
Mailing address
2817 TOPAZ RD, RIVERDALE, GA 30296-6012
(770) 557-2012
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW006079
GA
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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