RANDY ALLEN

RAPID CITY, SD
NPI1710011903
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: SD  LCSW-PIP1371)
Enumeration Date2007-03-16
Last Update Date2007-07-08
Business Address
-- RANDY ALLEN LCSW-PIP, QMHP
350 ELK ST
RAPID CITY, SD 57701-7351
Phone number: 605-343-7262
Mailing Address
-- RANDY ALLEN LCSW-PIP, QMHP
425 E PHILADELPHIA ST
RAPID CITY, SD 57701-1648
Phone number: