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Organization
KATHLEEN R ANDERSON LISW-S LLC
Active
Organization
KATHLEEN R ANDERSON LISW-S LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN R ANDERSON LISW-S (OWNER/PROVIDER)
(937) 231-5074
Entity
Organization
Contact information
Practice address
1055 E CENTERVILLE STATION RD, DAYTON, OH 45459-5500
(937) 439-2984
(937) 439-4429
Mailing address
7960 CLYO RD, DAYTON, OH 45459-4835
(937) 439-2984
(937) 439-4429
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0700139
OH
Other
Enumeration date
10/29/2013
Last updated
09/27/2023
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