Individual
MS. CAROL ANN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW
Contact information
Practice address
345 OXFORD DR, GORDONVILLE, TX 76245-2553
(903) 267-5604
Mailing address
345 OXFORD DR, GORDONVILLE, TX 76245-2553
(903) 267-5604
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4900
OK
101YM0800X
Mental Health Counselor
50215
TX
Other
Enumeration date
06/16/2006
Last updated
01/07/2015
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