Provider Information for 1306916150
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Mrs. BARBARA LEE ANDERSON L.I.C.S.W
Other Names:Former Name:Ms. BARBARA LEE BURTONSex: Female
NPI: 1306916150
Last Updated: 2010-03-25
Certification Date:
Certification Date:
Details
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NPI | 1306916150 | ||||||||||||||||
Enumeration Date | 2006-11-09 | ||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||
Sole Proprietor | YES | ||||||||||||||||
Status | Active | ||||||||||||||||
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 | ||||||||||||||||
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