Individual
CAROL ANN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1606 29TH AVE S, FARGO, ND 58103-5923
(701) 261-4708
Mailing address
1018 37TH AVE S, MOORHEAD, MN 56560-6133
(218) 790-1249
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
465153
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115G9AN
BLUE CROSS BLUE SHIELD
MN
01
—
4600826
MEDICA
MN
01
—
HP48712
HEALTH PARTNERS
MN
Enumeration date
09/22/2006
Last updated
02/25/2008
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