SHANITTA ANTALLESHIA RANDOLPH

ANCHORAGE, AK
NPI1699372359
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-10-06
Last Update Date2020-10-06
Business Address
SHANITTA ANTALLESHIA RANDOLPH
1709 BRAGAW ST
ANCHORAGE, AK 99508-3436
Phone number: 907-346-2101
Mailing Address
SHANITTA ANTALLESHIA RANDOLPH
6800 E 12TH AVE
ANCHORAGE, AK 99504-1832
Phone number: 907-310-0769
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