LISA RANDOLPH

O FALLON, MO
NPI1811445729
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MO  2015045055)
Enumeration Date2016-09-20
Last Update Date2016-09-20
Business Address
-- LISA RANDOLPH PLPC
8576 VETERANS MEMORIAL PKWY
O FALLON, MO 63366-3080
Phone number: 314-968-2216
Mailing Address
-- LISA RANDOLPH PLPC
7955 BIG BEND BLVD
SAINT LOUIS, MO 63119-2703
Phone number: 314-968-2216
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