MARIANNA RANDOLPH

SOUTH LAKE TAHOE, CA
NPI1609150853
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCS 24256)
Enumeration Date2011-10-06
Last Update Date2022-06-30
Business Address
MARIANNA RANDOLPH LCSW
924 EMERALD BAY RD
SOUTH LAKE TAHOE, CA 96150-9405
Phone number: 530-721-7281
Mailing Address
MARIANNA RANDOLPH LCSW
PO BOX 9343
SOUTH LAKE TAHOE, CA 96158-2343
Phone number: