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NPI 1982203576 · live from the CMS NPI Registry

Mazio Collin Anderson, LCSW

Social Worker, Clinical in Anchorage, AK. National Provider Identifier 1982203576, active.

NPI record

NPI1982203576 Type 1 · individual
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location4320 Diplomacy Dr, Anchorage, AK 99508
Practice phone907-729-3172
Mailing address7033 E Tudor Rd, Anchorage, AK 99507
EnumeratedOctober 23, 2020
Last updatedNovember 19, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.