Individual
MICHAEL GLENN ANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4418
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05271805
—
MS
Enumeration date
10/22/2007
Last updated
02/12/2008
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