Individual
MR. JOSEPH LEO ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
125 N STATE ST, FAIRVIEW, UT 84629-5554
(435) 610-1810
Mailing address
125 NORTH STATE STREET, PO BOX 282, FAIRVIEW, UT 84629-1340
(435) 610-1810
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7457907-3501
UT
Other
Enumeration date
09/24/2009
Last updated
08/16/2022
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