Individual
JUSTIN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 LONG POND RD, SUITE 106, PLYMOUTH, MA 02360-2662
(508) 747-6762
Mailing address
118 LONG POND RD, SUITE 106, PLYMOUTH, MA 02360-2662
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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