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Tina Randolph, LISW
NPI 1780172973 · on the registry since 2018 · sole proprietor
Practice
- Address
- 300 Tuskegee Blvd
Dover Afb, DE 19902 - Phone
- (302) 677-2674
- Organisation at this address
- 436th Medgrp-Dover
436th Medgrp-DoverInferred from a shared address, not stated in the registry. - Clinicians at this address
- 60
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- MD, OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-11-30
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 Delaware