LUCAS RANDOLPH

CLARKSTON, MI
NPI1457083974
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6851115073)
Enumeration Date2022-06-24
Last Update Date2023-06-27
Business Address
LUCAS RANDOLPH LLMSW
6549 TOWN CENTER DR
CLARKSTON, MI 48346-4824
Phone number: 800-395-3223
Mailing Address
LUCAS RANDOLPH LLMSW
1630 MADDY LN
KEEGO HARBOR, MI 48320-1152
Phone number: 248-881-9395
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