RANDY HARVILLE

JACKSON, LA
NPI1386855476
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: LA  2901)
Enumeration Date2007-05-24
Last Update Date2007-07-08
Business Address
-- RANDY HARVILLE LCSW
4502 HWY. 951
JACKSON, LA 70748
Phone number: 225-634-0224
Mailing Address
-- RANDY HARVILLE LCSW
PO BOX 498
JACKSON, LA 70748-0498
Phone number: 225-634-0224
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