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Individual

ALLAN NEIL ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.I.C.S.W.

Contact information

Practice address
704 ROGERS ST, LOWELL, MA 01852-4338
(978) 937-2696
(978) 970-2922
Mailing address
704 ROGERS ST, LOWELL, MA 01852-4338
(978) 937-2696
(978) 970-2922

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1016216
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
712815
TUFTS HEALTH PLANS
MA
01
P04692
BLUE CROSS BLUE SHIELD
MA
Enumeration date
09/20/2006
Last updated
07/08/2007
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