Russ, Randolph Graham
Russ, Randolph Graham is an sole proprietor health care provider with primary practice located at 2190 Sunderland Ave , Wellington FL 33414-7722. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Russ, Randolph Graham can be contacted via phone (561) 201-7180.Contact Information
Primary practice address
2190 Sunderland Ave
Wellington FL 33414-7722
Phone: (561) 201-7180
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH0002620 | Florida |
Profile Details
| NPI number | 1437326873 |
|---|---|
| LBN Legal business name | Russ, Randolph Graham |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 14th, 2008 |
| Last updated | Apr 24th, 2009 - 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.
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