Individual
MS. CAROLE M ANDERSEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.A., L.P.
Contact information
Practice address
14000 FAIRVIEW DR, BURNSVILLE, MN 55337-5713
(952) 993-8608
Mailing address
6465 WAYZATA BLVD, STE 315, ST LOUIS PARK, MN 55426-1728
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3866
MN
Other
Enumeration date
12/23/2005
Last updated
07/08/2007
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