RANDALL ALLEN WHITAKER

FORT LEONARD WOOD, MO
NPI1164438263
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  000791)
Enumeration Date2006-07-31
Last Update Date2007-07-08
Business Address
Mr. RANDALL ALLEN WHITAKER MSW, LCSW, CASAC
126 MISSOURI AVE MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473-8952
Phone number: 573-596-0417
Mailing Address
Mr. RANDALL ALLEN WHITAKER MSW, LCSW, CASAC
126 MISSOURI AVE MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473-8952
Phone number: 573-596-0417
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