RANDY GENE LANDES

CLARKSBURG, WV
NPI1881736916
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WV  DP00940318)
Enumeration Date2007-02-13
Last Update Date2007-07-08
Business Address
-- RANDY GENE LANDES
1MEDICAL CENTER DRIVE
CLARKSBURG, WV 26301
Phone number: 130-462-3246
Mailing Address
-- RANDY GENE LANDES
RT. 1 BOX 383 A
SALEM, WV 26426
Phone number: 130-478-2148