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MS. CONSTANCE ANDERSON AAGARD MSED,

>> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1811993421

Individual Registrant:
MS. CONSTANCE ANDERSON AAGARD MSED,
Gender: F
Sole Proprietor

Location and contact information for practice:
106 8TH AVE. SE  BAUDETTE, MN 56623 US
Tel: 218-634-1499  Fax: 218-634-4520

Contact information for business:
PO BOX 1523  BEMIDJI, MN 56619-1523 US
Tel: 218-634-1499  Fax: 218-634-4520

Registration Information:
NPI: 1811993421
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
MNLP 0390

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
UBH-MEDICA6274671MN01
CIGNA2255394MN01
STATE TAX ID NUMBER8236590MN01
HEALTH PARTNERSHP118013MN01
BC/BS IND ID NUMBER89G89ANMN01




HEALTH CARE JOBS MN - Page 1



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