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Individual
TIFFANY ANDERSON
Active
Individual
TIFFANY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3008-154
WI
235Z00000X
Speech-Language Pathologist
8019
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
616055700
—
MN
01
—
98G65FO
BCBS
MN
01
—
HP63614
HEALTH PARTNERS
MN
Enumeration date
09/26/2006
Last updated
11/19/2009
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