Individual
CRAIG ROBERT RANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, CAPSW
Contact information
Practice address
150 W 1ST ST STE 270, NEW RICHMOND, WI 54017-1770
(715) 246-4840
Mailing address
N3986 CONRAD ST, FREEDOM, WI 54130-7527
(920) 419-4835
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
130965-121
WI
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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