Individual
KALEY RAE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1891 STATION PKWY NW, ANDOVER, MN 55304-3341
(763) 755-4275
Mailing address
215 HOLLY LN, JANESVILLE, MN 56048-9796
(507) 995-8636
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
—
—
235Z00000X
Speech-Language Pathologist
Primary
528302
MN
Other
Enumeration date
09/04/2019
Last updated
09/26/2022
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