Jason J Anderson, L.L.M.S.W.

NPI #1720372386 in Ionia, Michigan

Provider Information

NPI Number: 1720372386
Entity Type: Individual
Name: Jason J Anderson, L.L.M.S.W.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: L.L.M.S.W.
Enumeration Date: Jun 1, 2011
Last Updated: Jun 1, 2011

Practice Location

Address: 375 APPLE TREE DR
City: Ionia
State: Michigan
ZIP Code: 48846-7506
Phone: (616) 527-1790

Specialties & Taxonomy Codes

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

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