Individual
CARMEN JO ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
2319 7TH ST W, SAINT PAUL, MN 55116-2813
(651) 251-3078
Mailing address
2838 FREMONT AVE S, UNIT 329, MINNEAPOLIS, MN 55408-2086
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8785
MN
Other
Enumeration date
11/26/2012
Last updated
03/18/2014
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