Individual
MISS JORDAN BRIENNA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
5430 BOONE AVE N, NEW HOPE, MN 55428-3615
(763) 592-2600
Mailing address
8116 TIERNEYS WOODS CURV, BLOOMINGTON, MN 55438-1038
(952) 288-8983
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
528345
MN
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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