Desarae Jean Anderson

NPI #1326385923 in Covington, Tennessee

Provider Information

NPI Number: 1326385923
Entity Type: Individual
Name: Desarae Jean Anderson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Jan 16, 2013
Last Updated: Jan 16, 2013

Practice Location

Address: 1997 HIGHWAY 51 S
City: Covington
State: Tennessee
ZIP Code: 38019-3630
Phone: (901) 475-3593

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary
Case Manager/Care Coordinator	171M00000X

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