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NPI Code Detail

MEDICARE: RANDA LYNN EDDY LGSW

MEDICARE: RANDA LYNN EDDY LGSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1922962182
Entity Type Code : Individual
Provider Name (Legal Business Name) : RANDA LYNN EDDY LGSW
Provider Business Mailing Address
First Line : 2121 7TH ST
Second Line :
City : PARKERSBURG
State : WV
Zip : 26101-3803
Country : US
Telephone Number : 304-485-1721
Fax Number :
Provider Business Practice Location Address
First Line : 2121 7TH ST
Second Line :
City : PARKERSBURG
State : WV
Zip : 26101-3803
Country : US
Telephone Number : 304-485-1721
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2025
Last Update Date : 12/12/2025

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Directions to “ RANDA LYNN EDDY LGSW” Practice Location

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