Most Relevant Information
Provider Data
| NPI Number: | 1003515297 |
| Provider Name: | RANDALL CRAIG HAINES |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | SW136399 |
Most Important Dates
| Enumeration Date: | 02/27/2023 |
| Last Updated: | 02/27/2023 |
Provider Practice Location
1700 S LINCOLN AVE
LEBANON
PA
170427529
Practice Location Phone/Fax
| Phone: | 7172726621 |
| Fax: | 7172286001 |
Provider Mailing Location
1700 S LINCOLN AVE
LEBANON
PA
170427529
Provider Mailing Phone/Fax
| Phone: | 7172726621 |
| Fax: | 7172286001 |