Individual
CODY ISAAC ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LSW
Contact information
Practice address
235 CHERRY ST, CHILLICOTHE, OH 45601-2350
(740) 774-3307
Mailing address
235 CHERRY ST, CHILLICOTHE, OH 45601-2350
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.2106751
OH
1041C0700X
Clinical Social Worker
Primary
I.2406190
OH
Other
Enumeration date
09/16/2022
Last updated
01/17/2025
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