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Individual

J CRAIG ANDERSON I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
500 NE SPANISH RIVER BLVD, 28-B, BOCA RATON, FL 33431-4515
(561) 241-9210
(561) 241-9210
Mailing address
500 NE SPANISH RIVER BLVD, 28-B, BOCA RATON, FL 33431-4515
(561) 241-9210
(561) 241-9210

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
0250
FL
106H00000X
Marriage & Family Therapist
Primary
0142
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
588925
FL
Enumeration date
02/08/2006
Last updated
01/07/2014
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