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Organization
TAMARA L. KAISER LLC
Active
Organization
TAMARA L. KAISER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMARA LYNN KAISER MSW, PHD LICSW, LMFT (CLINICAL SOCIAL WORKER)
(612) 825-8053
Entity
Organization
Contact information
Practice address
2301 COMO AVE STE 204, SAINT PAUL, MN 55108-1742
(612) 825-8053
Mailing address
2301 COMO AVE STE 204, SAINT PAUL, MN 55108-1742
(612) 825-8053
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01158
MN
106H00000X
Marriage & Family Therapist
216
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4G751KA
BLUE CROSS
MN
01
—
62-28270
UBH
MN
Enumeration date
01/08/2010
Last updated
01/08/2010
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