Lori Randolph, LCSW, PEL, CYT 200

NPI #1154290757 in Jonesboro, Illinois

Provider Information

NPI Number
1154290757
Entity Type
Individual
Name
Lori Randolph, LCSW, PEL, CYT 200
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW, PEL, CYT 200
Enumeration Date
Nov 3, 2025
Last Updated
Nov 3, 2025

Practice Location

Address
2805 STATE ROUTE 127 S
ZIP Code
62952-1326
Phone
(618) 685-0580

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical
Social Worker - SchoolSchool

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