Mark Randall, LICSW
NPI #1699257972 in Germantown, New York
Provider Information
- NPI Number
- 1699257972
- Entity Type
- Individual
- Name
- Mark Randall, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker
- Credential
- LICSW
- Enumeration Date
- Sep 3, 2018
- Last Updated
- Sep 3, 2018
Practice Location
- Address
- 600 WOODS RD
- City
- Germantown
- State
- New York
- ZIP Code
- 12526-5644
- Phone
- (518) 537-5000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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