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1790822856
CORLIS YVONNE RANDOLPH
WASHINGTON, DC
NPI
1790822856
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Former Name
CORLIS RANDOLPH JEFFRESS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: DC LC301584)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
Dr. CORLIS YVONNE RANDOLPH PH.D.
823 12TH ST NE
WASHINGTON, DC 20002-4462
Phone number: 202-397-5042
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Mailing Address
Dr. CORLIS YVONNE RANDOLPH PH.D.
823 12TH ST NE
WASHINGTON, DC 20002-4462
Phone number: 202-397-5042
Copy
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