Individual
PAULA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
804 MONROE ST, LA PORTE, IN 46350-3511
(219) 229-0109
Mailing address
804 MONROE ST, LA PORTE, IN 46350-3511
(219) 229-0109
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
99094446A
IN
Other
Enumeration date
09/17/2019
Last updated
08/10/2022
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