MRS. Anita Randolph, LPS/MHSP
NPI #1306974357 in Clarksville, Tennessee
Provider Information
- NPI Number
- 1306974357
- Entity Type
- Individual
- Name
- MRS. Anita Randolph, LPS/MHSP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPS/MHSP
- Enumeration Date
- Mar 1, 2007
- Last Updated
- Nov 25, 2013
Practice Location
- Address
- 511 8TH ST
- City
- Clarksville
- State
- Tennessee
- ZIP Code
- 37040-3093
- Phone
- (931) 920-7200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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