Individual
STACY HUGHES ANDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSE LP
Contact information
Practice address
166 MAIN ST, WINONA, MN 55987-3405
(507) 454-4341
(507) 453-6267
Mailing address
166 MAIN ST, WINONA, MN 55987-3405
(507) 454-4341
(507) 453-6267
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP3610
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143258
UCARE
MN
01
—
45G43AN
BCBS
MN
Enumeration date
11/08/2005
Last updated
07/08/2007
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