# LORETTA LEE ANDERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1760521827
- **Gender:** F
- **Credential:** LCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 2003032220 | MO | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 2003032220 | MO | Yes |

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 09/11/2025