MS. Tavia Lynne Anderson

NPI #1053709675 in Bloomington, Minnesota

Provider Information

NPI Number: 1053709675
Entity Type: Individual
Name: MS. Tavia Lynne Anderson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Jan 5, 2015
Last Updated: Mar 17, 2021

Practice Location

Address: 2400 W 102ND ST APT 101
City: Bloomington
State: Minnesota
ZIP Code: 55431-3359
Phone: (612) 203-4535

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Case Manager/Care Coordinator	171M00000X
Home Health	251E00000X
Driver	172A00000X	Primary
Counselor	101Y00000X
Counselor - Professional — Professional	101YP2500X

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