Individual
ANDREW JAMES ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1306 MARSHALL ST, ST PETER, MN 56082-4500
(507) 931-8040
(507) 931-8060
Mailing address
1306 MARSHALL ST, SAINT PETER, MN 56082-4500
(507) 931-8040
(507) 931-8060
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1618
NH
1041C0700X
Clinical Social Worker
Primary
21415
MN
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81263824
—
NH
Enumeration date
08/21/2009
Last updated
02/16/2012
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