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NPI Code Detail

MEDICARE: CHERI G ANDERSON LMSW

MEDICARE:   CHERI G ANDERSON  LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker6801077321MI

General Provider Information

NPI Number : 1326076340
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERI G ANDERSON LMSW
Provider Business Mailing Address
First Line : PO BOX 10
Second Line :
City : MASON
State : MI
Zip : 48854-0010
Country : US
Telephone Number : 517-676-9788
Fax Number :
Provider Business Practice Location Address
First Line : 3333 S PENNSYLVANIA AVE STE 100
Second Line :
City : LANSING
State : MI
Zip : 48910-4795
Country : US
Telephone Number : 517-798-4944
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2006
Last Update Date : 09/12/2024

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Directions to “ CHERI G ANDERSON LMSW” Practice Location

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