Individual
MRS. TERRY MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1400 W. ICE LAKE ROAD, IRON RIVER, MI 49935-4993
(906) 265-6121
Mailing address
1400 W. ICE LAKE ROAD, IRON RIVER, MI 49935
(906) 265-6121
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2149154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42793400
—
WI
Enumeration date
10/19/2006
Last updated
02/26/2024
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