Individual
KEVIN R ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2210 JACKSON ST, ANDERSON, IN 46016-4363
(765) 683-3118
Mailing address
10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000491A
IN
Other
Enumeration date
04/12/2012
Last updated
01/09/2017
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