Individual
CONSTANCE JO ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, ACSWLMHC
Contact information
Practice address
2100 GOSHEN RD, FORT WAYNE, IN 46808-1493
(260) 471-3500
(260) 471-4263
Mailing address
850 N HARRISON ST, WARSAW, IN 46580-3163
(574) 267-7169
(574) 268-2377
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004664A
IN
Other
Enumeration date
08/13/2006
Last updated
04/13/2010
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