Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
308 E DOWNING ST
TAHLEQUAH, OK 74464-3014 US
PECOS Enrolled

Ethan Randall

Clinical Social Worker


Ethan Randall

Overview

Ethan Randall is a Clinical Social Worker in the TAHLEQUAH area. Ethan Randall primary office location is at 308 E DOWNING ST and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1508526773 and the information was updated approximately 1 year ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: YES

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
308 E DOWNING ST
TAHLEQUAH, OK 74464-3014 US
Phone: (918)-931-3995
Fax:
Practice Mailing Information
6947 N 460 RD
HULBERT, OK 74464-3014 US
Phone: (918)-931-3995
Fax: (918)-931-3994
License NumberState
8189OK