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KRIS D ANDERSON MSW, LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1811123458

Individual Registrant:
 KRIS D ANDERSON MSW, LCSW
Gender: M
Not Sole Proprietor

Location and contact information for practice:
117 SAWGRASS PT  HARRISON, AR 72601-3072 US
Tel: 870-204-7488  Fax: 870-204-5654

Contact information for business:
2400 S 48TH ST  SPRINGDALE, AR 72762-6683 US
Tel: 479-750-2020  Fax: 479-750-4843

Registration Information:
NPI: 1811123458
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
AR3065-C

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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