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Individual

MS. CHRISTINE ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
23300 GREENFIELD RD STE 122, OAK PARK, MI 48237-8408
(248) 968-9508
(248) 968-9516
Mailing address
6 CAMBRIDGE BLVD, PLEASANT RIDGE, MI 48069-1103
(773) 315-6635

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801092908
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6801092908
STATE OF MICHIGAN LICENSE
MI
Enumeration date
09/09/2018
Last updated
12/27/2019
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