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Individual

CHRIS ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
U
Credential
LICSW

Contact information

Practice address
29 FAIR ST APT 1, NEW BEDFORD, MA 02740-7481
(802) 779-1959
Mailing address
29 FAIR ST APT 1, NEW BEDFORD, MA 02740-7481
(802) 779-1959

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
089.0119140
VT
1041C0700X
Clinical Social Worker
34004826A
IN
1041C0700X
Clinical Social Worker
Primary
LICSW126031
MA

Other

Enumeration date
08/07/2008
Last updated
06/06/2024
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