Mazio Collin Anderson, LCSW
Social Worker, Clinical in Anchorage, AK. Individual provider (NPI-1).
NPI number1982203576
StatusActive
Last updated in NPPESNov 19, 2024
Details
- NPI
- 1982203576
- Entity type
- Individual (NPI-1)
- Name
- Mazio Collin Anderson
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2020
- Certification date
- Nov 19, 2024
- Last updated
- Nov 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
4320 Diplomacy DrAnchorage, AK 99508-5925
Phone 907-729-3172
Mailing address
7033 E Tudor RdAnchorage, AK 99507-1262
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