TERRY A RANDALL

INDIANAPOLIS, IN
NPI1184918567
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34006256A)
Enumeration Date2011-06-03
Last Update Date2011-06-03
Business Address
-- TERRY A RANDALL LCSW
1481 W 10TH ST
INDIANAPOLIS, IN 46202-2803
Phone number: 317-988-3848
Mailing Address
-- TERRY A RANDALL LCSW
1481 W 10TH ST
INDIANAPOLIS, IN 46202-2803
Phone number: 317-988-3848