MR. Steven James Randolph, LCSW/ACSW

NPI #1194963603 in Shawnee, Oklahoma

Provider Information

NPI Number
1194963603
Entity Type
Individual
Name
MR. Steven James Randolph, LCSW/ACSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW/ACSW
Enumeration Date
Jan 22, 2009
Last Updated
Jan 22, 2009

Practice Location

Address
23 E 9TH ST
Address 2
SUITE 321
ZIP Code
74801-6943
Phone
(405) 476-5487

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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