RANDOLPH PAUL ANDERSEN Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149027573

License Status

ACTIVE

Business

First Name

RANDOLPH

Middle

PAUL

Last Name

ANDERSEN

Business Name

RANDOLPH PAUL ANDERSEN

Original Issue Date

08/14/2024

Effective Date

11/03/2025

Expiration Date

11/30/2027

City

MAGNOLIA

State

Zip

77354

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/03/2025