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1861659302
HEATHER W. RANDOLPH
LOUISVILLE, KY
NPI
1861659302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: KY 1491)
Enumeration Date
2008-05-21
Last Update Date
2010-04-15
Business Address
-- HEATHER W. RANDOLPH Psy.D.
7511 NEW LAGRANGE RD
LOUISVILLE, KY 40222-4859
Phone number: 502-423-1151
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Mailing Address
-- HEATHER W. RANDOLPH Psy.D.
7511 NEW LAGRANGE RD
LOUISVILLE, KY 40222-4859
Phone number: 502-423-1151
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