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1710011903
RANDY ALLEN
RAPID CITY, SD
NPI
1710011903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: SD LCSW-PIP1371)
Enumeration Date
2007-03-16
Last Update Date
2007-07-08
Business Address
-- RANDY ALLEN LCSW-PIP, QMHP
350 ELK ST
RAPID CITY, SD 57701-7351
Phone number: 605-343-7262
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Mailing Address
-- RANDY ALLEN LCSW-PIP, QMHP
425 E PHILADELPHIA ST
RAPID CITY, SD 57701-1648
Phone number:
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