Individual
MRS. STEPHANIE ELLEN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
401 SE MAIN ST APT 7011, MINNEAPOLIS, MN 55414-4618
(815) 988-8475
Mailing address
401 SE MAIN ST APT 7011, MINNEAPOLIS, MN 55414-4618
(815) 988-8475
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10447
MN
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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