Individual
RONALD ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, NCC, PC
Contact information
Practice address
601 FALL ST, EAU CLAIRE, WI 54703-3157
(715) 524-4840
(715) 524-4236
Mailing address
601 FALL ST, EAU CLAIRE, WI 54703-3157
(715) 524-4840
(715) 524-4236
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2211-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39214500
—
WI
Enumeration date
01/30/2007
Last updated
07/08/2007
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