Individual
ALIA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
COURAGE KENNY REHABILITATION ASSOCIATES, 800 E 28TH ST ST. 1750, MINNEAPOLIS, MN 55407-3723
(612) 863-4495
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21117
MN
Other
Enumeration date
06/30/2017
Last updated
09/05/2017
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