Individual
ERIC ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
2215 BROADWAY ST, VANCOUVER, WA 98663-3226
(360) 906-7156
(360) 696-3658
Mailing address
2215 BROADWAY ST, VANCOUVER, WA 98663-3226
(360) 906-7156
(360) 696-3658
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00006371
WA
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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