TARA WALDRON, LICSW

Social Worker - Clinical

Active Individual
NPI: 1750723573

Practice Address

11870 ULYSSES ST NE
STE 200
Blaine, MN 55434

Phone: (763) 482-9598

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 20530 (MN)

Frequently Asked Questions

NPI 1750723573 is the National Provider Identifier for TARA WALDRON, LICSW, a Social Worker - Clinical provider located in Blaine, MN. This NPI was enumerated on July 22, 2013.
TARA WALDRON, LICSW practices at 11870 ULYSSES ST NE, STE 200, Blaine, MN 55434.

Quick Facts

NPI
1750723573
Type
Individual
Enumerated
Jul 22, 2013
Last Updated
Jul 22, 2013

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