Individual
CHAD DELOY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW, MAC
Contact information
Practice address
3520 N 15TH ST APT C1, COEUR D ALENE, ID 83815-6629
(208) 686-1449
(208) 686-5813
Mailing address
1115 B ST, PLUMMER, ID 83851
(208) 686-1449
(208) 686-5813
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-26946
ID
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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