Randle Blake Gann, LMSW Valid NPI

Individual provider · Social Worker · Tuscaloosa, AL

NPI

1467148809

Type

Individual (Type 1)

Primary specialty

Social Worker

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

104100000X

License number

3279G (AL)

Sex

Male

Sole proprietor

No

Enumerated

2023-04-17

Last updated

2023-04-17