Matthew Gordon Anderson, L.C.S.W. Valid NPI

Individual provider · Social Worker · Vicksburg, MS

NPI

1760822860

Type

Individual (Type 1)

Primary specialty

Social Worker

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

104100000X

License number

M7209 (MS)

Sex

Male

Sole proprietor

Yes

Enumerated

2013-07-03

Last updated

2019-07-09