Marina Randall

NPI #1003594755 in Tyler, Texas

Provider Information

NPI Number: 1003594755
Entity Type: Individual
Name: Marina Randall
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jul 11, 2023
Last Updated: Jul 11, 2023

Practice Location

Address: 1611 S WALL AVE
City: Tyler
State: Texas
ZIP Code: 75701-4344
Phone: (419) 022-1626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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