Individual
MS. MARANDA RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1201 W PEACHTREE ST NW STE 2346, ATLANTA, GA 30309-3453
(678) 960-9207
(678) 965-0270
Mailing address
1201 W PEACHTREE ST NW STE 2346, ATLANTA, GA 30309-3453
(678) 960-9207
(678) 965-0270
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005439
GA
Other
Enumeration date
03/21/2015
Last updated
02/01/2019
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