Organization
DONNA ANDERSON LICSW, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA ANDERSON LICSW (PSYCHOTHERAPIST)
(651) 621-2495
Entity
Organization
Contact information
Practice address
1711 COUNTY ROAD B W, SUITE 210S, ROSEVILLE, MN 55113-4057
(651) 621-2495
(651) 621-2496
Mailing address
1711 COUNTY ROAD B W, SUITE 210S, ROSEVILLE, MN 55113-4057
(651) 621-2495
(651) 621-2496
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LICSW 1288
MN
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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