Individual
ANALISE MAE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
612 N GREENE ST, GREENSBORO, NC 27401-2024
(336) 604-5100
(336) 604-5151
Mailing address
612 N GREENE ST, GREENSBORO, NC 27401-2024
(336) 604-5100
(336) 604-5151
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C012916
NC
1041C0700X
Clinical Social Worker
P011320
NC
Other
Enumeration date
10/24/2018
Last updated
07/15/2022
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