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Individual

MR. KRISTOPHER ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CSW

Contact information

Practice address
1028 BARRET AVE, LOUISVILLE, KY 40204-1667
(502) 451-1221
Mailing address
THE MORTON CENTER, 1028 BARRETT AVENUE, LOUISVILLE, KY 40204

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
257021
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1528180064
KY
Enumeration date
08/30/2022
Last updated
08/30/2022
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