Individual
TYREEKA RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2803 OLD NORTH HILLS ST, MERIDIAN, MS 39305-1630
(601) 490-3271
Mailing address
2525 YOUREE DR STE 100, SHREVEPORT, LA 71104-3600
(601) 490-3271
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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