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

TARA WALDRON, LICSW

Active

TARA WALDRON, LICSW is a Clinical Social Worker healthcare provider located in BLAINE, Minnesota. NPI 1750723573 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · BLAINE, MN

Registration Details

NPI Number
1750723573
Provider Type
Individual
Gender
Female
NPI Issued
Jul 22, 2013 (13.02403960004 yrs)
Last Updated
Jul 22, 2013
License
20530 (MN)

Practice Information

Address
11870 ULYSSES ST NE
STE 200
BLAINE, MN, 554344179
Browse MN providers · Browse ZIP 55434
Phone
7634829598
Fax
6122356447
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in BLAINE, MN

Name Credential NPI
DOUGLAS ALAN DREW MA, LICSW 1376534214
CHERYL LYNN BARNES 1144554908
LYNN HEIDEMANN LICSW 1285970004
MR. WARREN B. FRITZE III MSW, LICSW, LADC,CGC 1295078715
KIMBERLY BAUMAN 1114330248
RICHELLE RENEE AMUNDSON LICSW 1437609328
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.