Individual
KRISTINE ELIZABETH ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AAC
Contact information
Practice address
201 LILA LN, BURLINGTON, WA 98233-3320
(360) 757-7738
Mailing address
201 LILA LN, BURLINGTON, WA 98233-3320
(360) 757-7738
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CG61337633
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CG61337633
—
WA
Enumeration date
07/28/2022
Last updated
07/28/2022
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