Tyantha G. Randall, LCSW-C
Tyantha G. Randall, LCSW-C is a Clinical Social Worker in Salisbury, Maryland. Practices as a sole proprietor. Licensed in Maryland.
- Licensed in
- MD
- In the registry since
- 2007
Practice location Address checks out
104 Williamsport Cir Ste CSalisbury, MD 21804-6400
Phone: (443) 859-8699
Fax: (443) 859-8747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 13117 (MD) |
|---|
Record details
| NPI number | 1407052400 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCSW-C |
| Sole proprietor | Yes |
| NPI enumerated | June 26, 2007 |
| Last updated in NPPES | February 27, 2012 |
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