Individual
GERALD ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1105 W 12TH ST, MC COOK, NE 69001-2404
(308) 340-7798
Mailing address
1105 W 12TH ST, MC COOK, NE 69001-2404
(308) 340-7798
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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