Phyllis Randle, LCSW-C

NPI #1376736124 in Largo, Maryland

Provider Information

NPI Number: 1376736124
Entity Type: Individual
Name: Phyllis Randle, LCSW-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW-C
Enumeration Date: Aug 24, 2007
Last Updated: Aug 24, 2007

Practice Location

Address: 1400 MERCANTILE LN
Address 2: 232
City: Largo
State: Maryland
ZIP Code: 20774-5341
Phone: (301) 583-0001

Specialties & Taxonomy Codes

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

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