Individual
LOR ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1820 12TH AVE STE 201, SEATTLE, WA 98122-2438
(206) 914-3937
Mailing address
1820 12TH AVE STE 201, SEATTLE, WA 98122-2438
(206) 914-3937
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
60527691
WA
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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