JEFFERY ALLEN RANDALL

CHEYENNE, WY
NPI1770066995
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: WY  LCSW-1073)
Enumeration Date2018-09-13
Last Update Date2018-09-13
Business Address
MR. JEFFERY ALLEN RANDALL LCSW
2360 E PERSHING BLVD
CHEYENNE, WY 82001-5356
Phone number: 307-778-7550
Mailing Address
MR. JEFFERY ALLEN RANDALL LCSW
2360 E PERSHING BLVD
CHEYENNE, WY 82001-5356
Phone number: 307-778-7550
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