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Provider Information for 1306916150


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Mrs. BARBARA LEE ANDERSON L.I.C.S.W


Other Names:  
Former Name: 
Ms. BARBARA LEE BURTON

Sex: Female

NPI: 1306916150
Last Updated: 2010-03-25
Certification Date:

Details

NameValue
NPI1306916150
Enumeration Date2006-11-09
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 905 MERCER STREET
PRINCETON, WV 24740-2909
United States

Phone: 304-425-9541 | Fax:304-425-1332
 
Primary Practice Address 905 MERCER STREET
PRINCETON, WV 24740-2909
United States

Phone: 304-425-9541 | Fax:304-425-1332
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101Y00000X - Counselor
Yes 1041C0700X - Social Worker - ClinicalWVDP00943354
No 1041C0700X - Social Worker - ClinicalVA0904006718