Maria Randall, LCSW

NPI #1477296630 in Hernando, Mississippi

Provider Information

NPI Number: 1477296630
Entity Type: Individual
Name: Maria Randall, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Apr 15, 2022
Last Updated: Apr 15, 2022

Practice Location

Address: 3240 MAGNOLIA LEAF DR
City: Hernando
State: Mississippi
ZIP Code: 38632-2497
Phone: (901) 351-4327

Specialties & Taxonomy Codes

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

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