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Individual

MRS. JANET MARIE ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
529 W. COUNTY ROAD E, SUITE C, SHOREVIEW, MN 55126-1125
(651) 287-6022
(651) 486-3954
Mailing address
5048 14TH AVE S, MINNEAPOLIS, MN 55417-1125
(612) 702-3706

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15441
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
405L6HE
BCBS
MN
01
HP49680
HEALTHPARTNERS
MN
Enumeration date
09/06/2006
Last updated
07/09/2007
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