Alicia Anderson, L.S.W.
Social Worker in Rockford, IL. Individual provider (NPI-1).
NPI number1073887691
StatusActive
Last updated in NPPESFeb 29, 2012
Details
- NPI
- 1073887691
- Entity type
- Individual (NPI-1)
- Name
- Alicia Anderson
- Credential
- L.S.W.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 29, 2012
- Last updated
- Feb 29, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 150-013436 | IL | Yes |
Practice location
8616 Northern AveRockford, IL 61107-5309
Phone 815-338-8003 · Fax 815-332-6090
Mailing address
1021 N Mulford RdRockford, IL 61107-3877
Phone 815-387-5600
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