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Olivia Anderson, LCSW

Social Worker, Clinical in Lakeland, FL. Individual provider (NPI-1).

NPI number1023125945
StatusActive
Last updated in NPPESOct 30, 2019

Details

NPI
1023125945
Entity type
Individual (NPI-1)
Name
Olivia Anderson
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Aug 24, 2006
Last updated
Oct 30, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalSW9710FLYes
104100000X Social WorkerSW9710FL

Practice location

1835 Gilmore Ave
Lakeland, FL 33805-3017

Phone 863-519-0575 · Fax 863-519-0728

Mailing address

Po Box 1559
Peace River Center
Bartow, FL 33831-1559

Phone 863-579-0575 · Fax 863-519-0728

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