Individual
JODI ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
819 PAUL BUNYAN DRIVE S, BEMIDJI, MN 56601
(218) 444-3161
Mailing address
PO BOX 639, BEMIDJI, MN 56619
(218) 444-3161
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18146
MN
Other
Enumeration date
02/19/2009
Last updated
07/02/2014
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