Individual provider · NPI-1

Robert Henry Anderson, RCSW-I

Social Worker, Clinical · Port St Lucie, FL

NPI number1912294158
StatusActive
Last updated in NPPESJul 8, 2011

Details

NPI
1912294158
Entity type
Individual (NPI-1)
Name
Mr. Robert Henry Anderson
Credential
RCSW-I
Sex
Male
Sole proprietor
No
Enumeration date
Jul 8, 2011
Last updated
Jul 8, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical7120FLYes

Practice location

590 Nw Peacock Blvd
Port St Lucie, FL 34986-2213

Phone 772-344-4020 · Fax 772-344-4038

Mailing address

590 Nw Peacock Blvd
Port St Lucie, FL 34986-2213

Phone 772-344-4020 · Fax 772-344-4038

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