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NPI Code Detail

MEDICARE: MS. RANDI LYNN MCDOWALL L.C.S.W

MEDICARE:  MS. RANDI LYNN MCDOWALL  L.C.S.W
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
11041C0700XClinical Social WorkerSW 5049FL

General Provider Information

NPI Number : 1073821930
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RANDI LYNN MCDOWALL L.C.S.W
Provider Business Mailing Address
First Line : 100 N WASHINGTON BLVD
Second Line :
City : SARASOTA
State : FL
Zip : 34236-5807
Country : US
Telephone Number : 941-953-4313
Fax Number : 941-954-8631
Provider Business Practice Location Address
First Line : 100 N WASHINGTON BLVD
Second Line :
City : SARASOTA
State : FL
Zip : 34236-5807
Country : US
Telephone Number : 941-953-4313
Fax Number : 941-954-8631
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2010
Last Update Date : 09/14/2010

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Directions to “ MS. RANDI LYNN MCDOWALL L.C.S.W” Practice Location

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