Leah Susan Randolph LADC I, MM

NPI 1194034835 - Counselor - 101YA0400X

NPI Details
NPI 1194034835
Gender Female
Enumeration Date 09/29/2010
Last Updated 09/29/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
21 WAUMBECK ST
DORCHESTER MA, 02121-1220, US
Phone (617) 291-3623
Fax
Business Location
21 WAUMBECK ST
DORCHESTER MA, 02121-1220, US
Phone (617) 291-3623
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State
License Number
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According to our database, Ms. Leah Susan Randolph LADC I, MM NPI is 1194034835, taxonomy code is 101YA0400X Leah Susan Randolph LADC I, MM physically located at 21 Waumbeck St, Dorchester MA, 02121-1220. NPI Number Leah Susan Randolph LADC I, MM has the Individual type.

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1194034835 NPI number is provided on an as is basis without warranty of any kind. 1194034835 is maintained by the National Plan & Provider Enumeration System. The contents of Leah Susan Randolph LADC I, MM are for informational purposes only.