Individual
CHARLES HILL ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
289 MAIN ST., NORWICH, VT 05055-0332
(802) 649-2617
Mailing address
PO BOX 332, NORWICH, VT 05055-0332
(802) 649-2617
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0000125
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ANDE *080-5605
BLUE CROSS BLUE SHIELD
VT
05
—
OVN1537
—
VT
Enumeration date
10/31/2006
Last updated
07/08/2007
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