Individual
SALLY ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
709 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4804
(651) 227-8471
Mailing address
892 MARGARET ST LOWR, SAINT PAUL, MN 55106-4510
(269) 832-0581
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9085
MN
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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