Individual
MR. RAY ANDERSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPH, M.ED.
Contact information
Practice address
2012 HIGHWAY 160 W, SUITE 16, FORT MILL, SC 29708-8401
(980) 404-2365
(803) 403-8916
Mailing address
2012 HIGHWAY 160 W, 16, FORT MILL, SC 29708-8401
(314) 518-0042
(803) 403-8916
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
12/10/2013
Last updated
07/01/2015
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