MARK HAMPTON RANDOLPH

HUDSON, WI
NPI1689454084
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  16008-132)
Enumeration Date2023-10-03
Last Update Date2023-10-03
Business Address
MARK HAMPTON RANDOLPH CSAC, CSIT, LADC
405 STAGELINE RD
HUDSON, WI 54016-1793
Phone number: 715-531-6210
Mailing Address
MARK HAMPTON RANDOLPH CSAC, CSIT, LADC
405 STAGELINE RD
HUDSON, WI 54016-1793
Phone number: 715-531-6210
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