RUSSELL A. ANDERSON

PRESCOTT, AZ
NPI1184677304
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: WA  LW00007686)
Enumeration Date2006-05-18
Last Update Date2007-07-08
Business Address
RUSSELL A. ANDERSON MSW
500 N US HIGHWAY 89
PRESCOTT, AZ 86313-5001
Phone number: 928-445-4860
Mailing Address
RUSSELL A. ANDERSON MSW
7068 N SUNRISE VIS
PRESCOTT VALLEY, AZ 86314-3416
Phone number: 928-772-5477
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