Provider Demographics
NPI:1861037228
Name:KRAMER, RANDEE-SUE
Entity Type:Individual
Prefix:
First Name:RANDEE-SUE
Middle Name:
Last Name:KRAMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20505 E COUNTRY CLUB DR APT 833
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-3038
Mailing Address - Country:US
Mailing Address - Phone:305-785-5168
Mailing Address - Fax:
Practice Address - Street 1:20505 E COUNTRY CLUB DR APT 833
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-3038
Practice Address - Country:US
Practice Address - Phone:305-785-5168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-08
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW167891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical