Waldron, Tara
Waldron, Tara is an individual health care provider with primary practice located at 11870 Ulysses St Ne Ste 200, Blaine MN 55434-4179. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Waldron, Tara can be contacted via phone (763) 482-9598.Contact Information
Primary practice address
11870 Ulysses St Ne Ste 200
Blaine MN 55434-4179
Phone: (763) 482-9598
Fax: (612) 235-6447
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 20530 | Minnesota |
Profile Details
| NPI number | 1750723573 |
|---|---|
| LBN Legal business name | Waldron, Tara |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2013 |
| Last updated | Jul 22nd, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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