Provider Demographics
NPI:1578597969
Name:ANDERSON, MEADOW MARLENE (MSW)
Entity Type:Individual
Prefix:MS
First Name:MEADOW
Middle Name:MARLENE
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 W RIVERSIDE
Mailing Address - Street 2:APT 24
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201
Mailing Address - Country:US
Mailing Address - Phone:509-389-3473
Mailing Address - Fax:
Practice Address - Street 1:221 W RIVERSIDE AVE
Practice Address - Street 2:APT 24
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-0162
Practice Address - Country:US
Practice Address - Phone:509-389-3473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker