Individual
CARLETTE RENEE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
413 COMMERCIAL AVE N, SANDSTONE, MN 55072-4412
(320) 245-9966
(320) 310-0433
Mailing address
90656 KOECHER RD, KERRICK, MN 55756
(218) 460-9095
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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