Steven James Randolph Lcsw-Acsw
Social Worker, Clinical in Shawnee, OK. Organization (NPI-2).
NPI number1154873552
StatusActive
Last updated in NPPESJan 31, 2017
Details
- NPI
- 1154873552
- Entity type
- Organization (NPI-2)
- Legal business name
- Steven James Randolph Lcsw-Acsw
- Organization subpart
- No
- Enumeration date
- Nov 1, 2016
- Last updated
- Jan 31, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 1523 | OK | Yes |
Practice location
23 E 9th StSte 321
Shawnee, OK 74801-6943
Phone 405-476-5487 · Fax 405-521-9736
Mailing address
419 W Gray StNorman, OK 73069-7117
Phone 405-329-7300 · Fax 405-364-5379
Authorized official
Steven James Randolph
Managing Member
4054765487
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