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1386827608
KENNETH S ANDERSON
WATERTOWN, SD
NPI
1386827608
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-12-10
Last Update Date
2007-12-10
Business Address
-- KENNETH S ANDERSON CCDCT
123 19TH ST NE
WATERTOWN, SD 57201
Phone number: 605-886-0123
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Mailing Address
-- KENNETH S ANDERSON CCDCT
PO BOX 1030
WATERTOWN, SD 57201-6030
Phone number: 605-886-0123
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