Individual
ADAM ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1071 GREEN ARBOR DR APT J, FENTON, MO 63026-6405
(573) 673-1381
Mailing address
1071 GREEN ARBOR DR APT J, FENTON, MO 63026-6405
(573) 673-1381
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2024042627
MO
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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