Individual
CLAUDIA LETICIA RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6236 ZALTANA RD NW, ALBUQUERQUE, NM 87120-5595
(505) 328-0687
Mailing address
6236 ZALTANA RD NW, ALBUQUERQUE, NM 87120-5595
(505) 328-0687
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-08063
NM
Other
Enumeration date
03/24/2019
Last updated
03/24/2019
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