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Individual

CASEY ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S.

Contact information

Practice address
440 N PAIUTE DR, CEDAR CITY, UT 84721-6181
(435) 586-1112
Mailing address
440 N PAIUTE DR, CEDAR CITY, UT 84721-6181
(435) 586-1112

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
70191513503
UT

Other

Enumeration date
12/09/2010
Last updated
12/09/2010
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