MS. Randi Waxman, LCSW-R

NPI #1912061268 in Merrick, New York

Provider Information

NPI Number: 1912061268
Entity Type: Individual
Name: MS. Randi Waxman, LCSW-R
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW-R
Enumeration Date: Dec 21, 2006
Last Updated: Apr 2, 2009

Practice Location

Address: 124 MERRICK AVE
Address 2: SUITE #7
City: Merrick
State: New York
ZIP Code: 11566-3434
Phone: (516) 868-8867

Specialties & Taxonomy Codes

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

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