Individual
MR. DANNY M ANDERSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1415 MAGNAVOX WAY, FORT WAYNE, IN 46804-1565
(260) 443-5743
(260) 209-6896
Mailing address
325 W WALLEN RD, FORT WAYNE, IN 46825-2225
(260) 413-4140
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34009787A
IN
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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