Most Relevant Information
Provider Data
| NPI Number: | 1003515875 |
| Provider Name: | KATIE SUE ANDERSON |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/01/2023 |
| Last Updated: | 07/12/2023 |
Provider Practice Location
211 N SHIAWASSEE ST STE A
CORUNNA
MI
488171444
Practice Location Phone/Fax
| Phone: | 9899283566 |
| Fax: |
Provider Mailing Location
1009 WASHINGTON AVE
BAY CITY
MI
487085705
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |