Individual
MR. RICHARD WILLIAM ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1 MEDICAL CENTER DR, LOUIS A. JOHNSON VAMC, CLARKSBURG, WV 26301
(304) 623-3461
(304) 626-7726
Mailing address
611 RIVENDELL DR, BRIDGEPORT, WV 26330-1357
(304) 842-4628
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CP00454196
WV
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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