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1932790011
LYDIA RANDOLPH
WINTERVILLE, NC
NPI
1932790011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C016917)
Enumeration Date
2021-02-01
Last Update Date
2024-07-12
Business Address
LYDIA RANDOLPH LCSW
760 FIRE TOWER RD STE 107 #102
WINTERVILLE, NC 28590-9868
Phone number: 252-258-8159
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Mailing Address
LYDIA RANDOLPH LCSW
760 FIRE TOWER RD STE 107 #102
WINTERVILLE, NC 28590-9868
Phone number: 252-258-8159
Copy
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