| Steven James Randolph Lcsw-acsw | |
|
23 E 9th St Ste 321 Shawnee OK 74801-6943 | |
| (405) 476-5487 | |
| (405) 521-9736 |
| Full Name | Steven James Randolph Lcsw-acsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 23 E 9th St, Shawnee, Oklahoma |
| Authorized Official Name and Position | Steven James Randolph (MANAGING MEMBER) |
| Authorized Official Contact | 4054765487 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven James Randolph Lcsw-acsw 419 W Gray St Norman OK 73069-7117 Ph: (405) 329-7300 | Steven James Randolph Lcsw-acsw 23 E 9th St Ste 321 Shawnee OK 74801-6943 Ph: (405) 476-5487 |
| NPI Number | 1154873552 |
|---|---|
| Provider Enumeration Date | 11/01/2016 |
| Last Update Date | 01/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154873552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1523 (Oklahoma) | Primary |
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