Randall, Shanice Monique

Randall, Shanice Monique is an individual health care provider with primary practice located at 14202 Water Fowl Way , Upper Marlboro MD 20774-4002. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Randall, Shanice Monique can be contacted via phone (301) 257-6282.

Contact Information

Primary practice address
14202 Water Fowl Way Upper Marlboro MD 20774-4002
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 23077 Maryland

Profile Details

NPI number 1851998694
LBN Legal business name Randall, Shanice Monique
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2020
Last updated Oct 5th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers