Individual
QUENTON CARDELL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
569 WEST 95TH STREET, OAK LAWN, IL 60453-6045
(708) 529-0278
Mailing address
569 WEST 95TH, OAK LAWN, IL 60453
(708) 529-0278
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.108327
IL
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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