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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. SONG LOR ANDERSON, LICSW

Active Sole Proprietor

MRS. SONG LOR ANDERSON, LICSW is a Clinical Social Worker healthcare provider located in CHAMPLIN, Minnesota. NPI 1669659520 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · CHAMPLIN, MN

Registration Details

NPI Number
1669659520
Provider Type
Individual
Gender
Female
NPI Issued
Jan 23, 2008 (18.534732698138 yrs)
Last Updated
Jan 23, 2008
License
15521 (MN)
Sole Proprietor
Yes

Practice Information

Address
11205 VIRGINIA AVE N
CHAMPLIN, MN, 553163765
Browse MN providers · Browse ZIP 55316
Phone
7633151401
Fax
7633151401
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in CHAMPLIN, MN

Name Credential NPI
MR. CHRISTOPHER DAVID EMERY MSW, LICSW 1477693851
MICHELLE R. MANDELL-PAULSON LICSW 1912425158
JESSICA LADNER LICSW 1457941387
MS. KIMBERLY LYNNE SOBON LICSW 1780254912
MAITA YANG LICSW 1881302172
KARA AUSEN LICSW 1629937420
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.