Individual
JUDITH ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LLP
Contact information
Practice address
131 ENTERPRISE ST, THREE RIVERS, MI 49093
(269) 273-2024
Mailing address
6189 BAYWOOD DR, PORTAGE, MI 49024-1045
(269) 329-4968
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301007833
MI
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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