Individual
MS. AMBER DAWN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASE MANAGER
Contact information
Practice address
420 N OKLAHOMA AVE, TAHLEQUAH, OK 74464-3122
(918) 385-1553
Mailing address
420 N OKLAHOMA AVE, TAHLEQUAH, OK 74464-3122
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
CASE MANAGER
—
Enumeration date
05/20/2019
Last updated
11/27/2024
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