Randolph, Pamela Marie

Randolph, Pamela Marie is an individual health care provider with primary practice located at 4101 S 4Th St , Leavenworth KS 66048-5014. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Randolph, Pamela Marie can be contacted via phone (913) 682-2000.

Contact Information

Primary practice address
4101 S 4Th St Leavenworth KS 66048-5014
Phone: (913) 682-2000
Fax: (913) 758-4149
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW 227 Missouri

Profile Details

NPI number 1740238658
LBN Legal business name Randolph, Pamela Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jul 8th, 2007 - about 17 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