Individual
GARY OWEN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
777 S MAIN ST STE 100, CLINTON, IN 47842-2493
(765) 828-1003
Mailing address
777 S MAIN ST STE 100, CLINTON, IN 47842-2493
(765) 828-1003
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008561A
IN
Other
Enumeration date
03/26/2020
Last updated
11/27/2023
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