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Individual

ANYA HELGESON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3501 ALDRICH AVE S, MINNEAPOLIS, MN 55408-4149
(612) 430-2635
Mailing address
4637 COLUMBUS AVE, MINNEAPOLIS, MN 55407-3527
(612) 803-9979

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
AH05100316P
IL
252Y00000X
Early Intervention Provider Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AH05100316P
PROVIDER CONNECTIONS
IL
Enumeration date
05/18/2016
Last updated
09/28/2021
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