Gary Randall
Gary Randall is a Social Worker in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2014.
- Licensed in
- ID
- In the registry since
- 2014
Practice location Address checks out
209 E Lewis StPocatello, ID 83201-6465
Phone: (208) 233-7693
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence LSW-30218 (ID) |
|---|
Record details
| NPI number | 1962818740 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 1, 2014 |
| Last updated in NPPES | July 1, 2014 |
| Mailing address | 209 E Lewis St, Pocatello, ID 83201-6465 |
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