| Paula B Randant, Lcsw | |
|
200 E Evergreen Ave Ste 112 Mount Prospect IL 60056-3240 | |
| (847) 255-4055 | |
| (847) 577-5066 |
| Full Name | Paula B Randant, Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 200 E Evergreen Ave Ste 112, Mount Prospect, Illinois |
| Authorized Official Name and Position | Paula B Randant (DIRECTOR/PSYCHOTHERAPIST) |
| Authorized Official Contact | 8472554055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paula B Randant, Lcsw 200 E Evergreen Ave Ste 112 Mount Prospect IL 60056-3240 Ph: (847) 255-4055 | Paula B Randant, Lcsw 200 E Evergreen Ave Ste 112 Mount Prospect IL 60056-3240 Ph: (847) 255-4055 |
| NPI Number | 1306246566 |
|---|---|
| Provider Enumeration Date | 08/25/2014 |
| Last Update Date | 08/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306246566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149001220 (Illinois) | Primary |
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