Individual
MS. CONSTANCE ANDERSON AAGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED,
Contact information
Practice address
106 8TH AVE. SE, BAUDETTE, MN 56623
(218) 634-1499
(218) 634-4520
Mailing address
PO BOX 1523, BEMIDJI, MN 56619-1523
(218) 634-1499
(218) 634-4520
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP 0390
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2255394
CIGNA
MN
01
—
6274671
UBH-MEDICA
MN
01
—
8236590
STATE TAX ID NUMBER
MN
01
—
89G89AN
BC/BS IND ID NUMBER
MN
01
—
HP118013
HEALTH PARTNERS
MN
Enumeration date
06/28/2005
Last updated
07/09/2007
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