Individual
CHRISTOPHER ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
441 ORANGE ST, STE 6, NEW HAVEN, CT 06511-6217
(203) 710-8633
Mailing address
96 LYON ST, NEW HAVEN, CT 06511-4927
(203) 710-8633
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8975
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008067725
—
CT
Enumeration date
04/23/2015
Last updated
01/22/2018
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