Jeffrey Gordon Randall, LCSW/MSSW
NPI #1780916577 in Sun Prairie, Wisconsin
Provider Information
- NPI Number
- 1780916577
- Entity Type
- Individual
- Name
- Jeffrey Gordon Randall, LCSW/MSSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW/MSSW
- Enumeration Date
- Feb 4, 2010
- Last Updated
- Sep 28, 2021
Practice Location
- Address
- 10 TOWER DR
- City
- Sun Prairie
- State
- Wisconsin
- ZIP Code
- 53590-1239
- Phone
- (608) 825-3500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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