Individual
DONALD ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5725 S ROSS AVE, OKLAHOMA CITY, OK 73119-5650
(405) 685-4791
Mailing address
4001 KNIGHTS BRIDGE ST, NORMAN, OK 73072-1743
(405) 573-9905
(405) 573-0404
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3090
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00257069
MEDICARE RR
—
Enumeration date
06/09/2006
Last updated
12/16/2009
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