MR. Randall Allen Whitaker, MSW, LCSW, CASAC
NPI #1164438263 in Fort Leonard Wood, Missouri
Provider Information
- NPI Number
- 1164438263
- Entity Type
- Individual
- Name
- MR. Randall Allen Whitaker, MSW, LCSW, CASAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW, LCSW, CASAC
- Enumeration Date
- Jul 31, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 126 MISSOURI AVE
- Address 2
- MCXP-CCS-CR
- State
- Missouri
- ZIP Code
- 65473-8952
- Phone
- (573) 596-0417
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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