Organization
EILEEN G ANDERSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN G ANDERSON LICSW (SOLE MEMBER)
(952) 270-9211
Entity
Organization
Contact information
Practice address
762 TRANSFER RD STE 21, SAINT PAUL, MN 55114-1489
(651) 659-2900
Mailing address
7421 W SHORELINE DR, WACONIA, MN 55387-9641
(952) 270-9211
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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