Individual
MRS. KIMBERLY MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
2200 E ELLENDALE AVE, DALLAS, OR 97338-9353
(503) 623-5588
(503) 623-4729
Mailing address
167 NW ELDERBERRY LN, DALLAS, OR 97338-1199
(503) 831-1003
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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