| NPI | 1518484898 |
|---|---|
| Former Name | DENISE M ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME MC15756) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ME MC15756) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2018-07-10 |