Individual
BRIDGET MAE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 MADISON AVENUE, MANKATO, MN 56001
(507) 682-7100
Mailing address
501 MADISON AVENUE, MANKATO, MN 56001
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
06/07/2021
Last updated
04/22/2022
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