TARA WALDRON

BLAINE, MN
NPI1750723573
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  20530)
Enumeration Date2013-07-22
Last Update Date2013-07-22
Business Address
-- TARA WALDRON LICSW
11870 ULYSSES ST NE STE 200
BLAINE, MN 55434-4179
Phone number: 763-482-9598
Mailing Address
-- TARA WALDRON LICSW
745 36TH AVE NE
MINNEAPOLIS, MN 55418-1239
Phone number: 651-242-3290