MICHAEL RICHARD ANDERSON

CROOKSTON, MN
NPI1619936739
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  12676)
Enumeration Date2006-03-18
Last Update Date2007-07-08
Business Address
Mr. MICHAEL RICHARD ANDERSON LICSW
603 BRUCE ST
CROOKSTON, MN 56716
Phone number: 218-281-3940
Mailing Address
Mr. MICHAEL RICHARD ANDERSON LICSW
603 BRUCE ST PO BOX 603
CROOKSTON, MN 56716-0603
Phone number: 218-281-3940