SearchNew York104100000X

Mark Randall, LICSW

NPI 1699257972 · on the registry since 2018 · sole proprietor

Practice

Address
600 Woods Rd
Germantown, NY 12526
Phone
(518) 537-5000

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-09-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York