Individual
CRAIG R ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSW LSW
Contact information
Practice address
100 POLK COUNTY PLZ, SUITE 50, BALSAM LAKE, WI 54810-9071
(715) 485-8873
(715) 485-8490
Mailing address
PO BOX 182, FREDERIC, WI 54837-0182
(715) 566-1845
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
8589 120
WI
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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