Kenneth Anderson, LBSW
Social Worker in Waterford, MI. Individual provider (NPI-1).
NPI number1184875239
StatusActive
Last updated in NPPESMay 21, 2013
Details
- NPI
- 1184875239
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kenneth Anderson
- Credential
- LBSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 7, 2008
- Last updated
- May 21, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 6802074265 | MI | Yes |
Practice location
279 Summit DrWaterford, MI 48328-3364
Phone 248-745-4900
Mailing address
654 Franklin RdPontiac, MI 48341-2643
Phone 248-636-6888
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All 72 Social Worker providers in Waterford · All 1,575 providers in Waterford
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