Individual
MRS. KRISSA ANN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
130 SHENNECOSSETT ROAD, GROTON, CT 06340
(860) 445-2191
(860) 445-2191
Mailing address
25 CROFT COURT, PAWCATUCK, CT 06379
(860) 599-1132
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005647CT01
CT
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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