Individual
MS. DORIS STALLS ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6168 1ST AVE N, ST PETERSBURG, FL 33710-8515
(727) 347-7353
Mailing address
1620 PARK ST N, ST PETERSBURG, FL 33710-4348
(727) 347-0354
(727) 343-2400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW1689
FL
Other
Enumeration date
07/18/2006
Last updated
03/25/2020
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