Randolph, Marianna
Randolph, Marianna is an sole proprietor health care provider with primary practice located at 924 Emerald Bay Rd , South Lake Tahoe CA 96150-9405. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Randolph, Marianna can be contacted via phone (530) 721-7281.Contact Information
Primary practice address
924 Emerald Bay Rd
South Lake Tahoe CA 96150-9405
Phone: (530) 721-7281
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS 24256 | California |
Profile Details
| NPI number | 1609150853 |
|---|---|
| LBN Legal business name | Randolph, Marianna |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2011 |
| Last updated | Jun 30th, 2022 - about 2 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.
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