Individual
MR. MICHAEL LAWRENCE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
9040A REID STREET, TACOMA, WA 98431-0001
(253) 968-6860
(253) 968-5834
Mailing address
6804 183RD AVE E, BONNEY LAKE, WA 98391-6834
(253) 862-8908
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00942094
WV
Other
Enumeration date
04/11/2006
Last updated
04/13/2009
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