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1508299819
JOHN WILSON RANDALL
MADISON, AL
NPI
1508299819
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AL 1720C)
Enumeration Date
2013-08-11
Last Update Date
2018-03-29
Business Address
JOHN WILSON RANDALL S.W.
210 POSTWOOD CT
MADISON, AL 35758-6620
Phone number: 256-520-5804
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Mailing Address
JOHN WILSON RANDALL S.W.
1838 N DIXIE HWY
FT LAUDERDALE, FL 33305-3829
Phone number: 256-520-5804
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