Individual
KAJ U ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SW
Contact information
Practice address
35 S MAIN ST, JANESVILLE, WI 53545-3922
(608) 757-5566
Mailing address
35 S MAIN ST, JANESVILLE, WI 53545-3922
(608) 757-5566
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5971-120
WI
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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