Individual
ANIKA N STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7525 MITCHELL RD STE 100, EDEN PRAIRIE, MN 55344-1900
(612) 924-8307
Mailing address
2127 GRENADIER AVE N, OAKDALE, MN 55128-4313
(651) 492-5826
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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