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Individual

MICKENNA ANDERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW-PIP, CAC

Contact information

Practice address
5920 E MADISON ST, SIOUX FALLS, SD 57110-6489
(605) 312-5000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9419

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
6794
SD

Other

Enumeration date
09/21/2022
Last updated
05/27/2025
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