Individual
CHARLES ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
145 W K ST, CASPER, WY 82601-1018
(307) 851-9960
Mailing address
145 W K ST, CASPER, WY 82601-1018
(307) 851-9960
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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