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RANDALL ANDERSON LMSW

>> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1891163325

Individual Registrant:
 RANDALL  ANDERSON LMSW
Gender: M
Not Sole Proprietor

Location and contact information for practice:
2400 HOSPITAL RD  TUSKEGEE, AL 36083-5001 US
Tel: 334-727-0550  Fax: --

Contact information for business:
2817 TOPAZ RD  RIVERDALE, GA 30296-6012 US
Tel: 770-557-2012  Fax: --

Registration Information:
NPI: 1891163325
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker
GAMSW006079

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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