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Individual

DR. MARIE LYNN ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD, LP, LMFT

Contact information

Practice address
12760 ABERDEEN ST NE, SUITE 212, BLAINE, MN 55449-5845
(651) 600-2727
(612) 656-3031
Mailing address
12760 ABERDEEN ST NE, SUITE 212, BLAINE, MN 55449-5845
(651) 600-2727
(612) 656-3031

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
5635
MN
106H00000X
Marriage & Family Therapist
1701
MN

Other

Enumeration date
10/06/2008
Last updated
08/28/2013
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