Individual
JESSICA MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2099
(320) 252-1670
Mailing address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2099
(320) 252-1670
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
32618
MN
Other
Enumeration date
02/12/2025
Last updated
06/05/2025
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