SHANNON ALYSE RANDOLPH

ROXBURY, MA
NPI1821767922
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  LICSW1121000)
Enumeration Date2021-09-10
Last Update Date2025-05-06
Business Address
Miss SHANNON ALYSE RANDOLPH MSW, LICSW
504 DUDLEY ST
ROXBURY, MA 02119-2732
Phone number: 617-445-6655
Mailing Address
Miss SHANNON ALYSE RANDOLPH MSW, LICSW
1 BMC PLACE MOAKLEY CONNECTOR OFFICE 1301
BOSTON, MA 02118
Phone number: 617-638-7147
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