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1649311150
TARA M BAUMAN
MINNETONKA, MN
NPI
1649311150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 302123)
Enumeration Date
2007-02-08
Last Update Date
2007-07-08
Business Address
-- TARA M BAUMAN LADC LGSW
15320 MINNETONKA BLVD #200
MINNETONKA, MN 55345
Phone number: 952-932-7277
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Mailing Address
-- TARA M BAUMAN LADC LGSW
15320 MINNETONKA BLVD #200
MINNETONKA, MN 55345
Phone number: 952-932-7277
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