Individual
KEVIN CARL RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
5310 WALL STREET, SUITE 500, MADISON, WI 53718
(608) 274-8294
(608) 274-8783
Mailing address
5310 WALL STREET, SUITE 500, MADISON, WI 53718
(608) 274-8294
(608) 274-8783
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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