TARA M PROM

SAINT CLOUD, MN
NPI1205338969
Former NameTARA M SCHLOE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MN  17338)
Additional Taxonomies101YS0200X Counselor School
(Licence: MN  429597)
Enumeration Date2018-03-08
Last Update Date2018-03-08
Business Address
MRS. TARA M PROM LICSW
22 WILSON AVE NE SUITE 110 PO BOX 6069
SAINT CLOUD, MN 56302-6069
Phone number: 320-251-7700
Mailing Address
MRS. TARA M PROM LICSW
1114 SOMERSET BLVD
SAINT CLOUD, MN 56303-0750
Phone number: 320-266-0241