Individual
LORETTA LEE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1212 W LOMBARD ST, SPRINGFIELD, MO 65806-2720
(417) 865-1646
Mailing address
1212 W LOMBARD ST, SPRINGFIELD, MO 65806-2720
(417) 865-1646
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2003032220
MO
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
2003032220
MO
Other
Enumeration date
02/05/2007
Last updated
09/11/2025
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