MRS. Kristina Nicholas Anderson, LSW, MASTERS STUDENT

NPI #1790904779 in Dalton Gardens, Idaho

Provider Information

NPI Number: 1790904779
Entity Type: Individual
Name: MRS. Kristina Nicholas Anderson, LSW, MASTERS STUDENT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW, MASTERS STUDENT
Enumeration Date: Apr 25, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 5624 N GOVERNMENT WAY
Address 2: SUITE 7B
City: Dalton Gardens
State: Idaho
ZIP Code: 83815-7350
Phone: (208) 762-9890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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