Individual
MR. MARK OMAR ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
7200 FRANCE AVE S, SUITE 239, EDINA, MN 55435-4300
(952) 345-1875
(952) 345-1876
Mailing address
7200 FRANCE AVE S, SUITE 239, EDINA, MN 55435-4300
(952) 345-1875
(952) 345-1876
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0272
MN
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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