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Individual
SAMUEL NEAL ANDERSON
Active
Individual
SAMUEL NEAL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CIT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4018
LA
171M00000X
Case Manager/Care Coordinator
—
NULL
Other
Enumeration date
11/19/2018
Last updated
04/11/2022
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