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Individual

MS. MARY ANN J ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFTA

Contact information

Practice address
310 N MICHIGAN ST, SUITE 208, PLYMOUTH, IN 46563-1770
(574) 935-9449
(574) 935-3956
Mailing address
310 N MICHIGAN ST, SUITE 208, PLYMOUTH, IN 46563-1770
(574) 935-9449
(574) 935-3956

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
85000028A
IN

Other

Enumeration date
11/18/2009
Last updated
11/18/2009
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