Mark Brian Anderson, LCSW

NPI #1194252619 in Logan, Utah

Provider Information

NPI Number: 1194252619
Entity Type: Individual
Name: Mark Brian Anderson, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: May 15, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 90 E 200 N
City: Logan
State: Utah
ZIP Code: 84321-4034
Phone: (435) 752-0750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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