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Individual

MARK ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
140 GRIGGS DR, PRINCETON, NJ 08540-7672
(609) 529-7372
Mailing address
140 GRIGGS DR, PRINCETON, NJ 08540-7672

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
03/05/2012
Last updated
03/05/2012
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Product
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