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Individual

DR. CHARLES MARK ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D

Contact information

Practice address
2421 71ST AVENUE CT NW, GIG HARBOR, WA 98335-6451
(253) 549-3822
Mailing address
2421 71ST AVENUE CT NW, GIG HARBOR, WA 98335-6451
(253) 549-3822

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY00001052
WA

Other

Enumeration date
01/31/2009
Last updated
01/31/2009
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