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Individual
MRS. TAMARA B CHRISTENSON
Active
Individual
MRS. TAMARA B CHRISTENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13897
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138661
UCARE
MN
01
—
31002005
PRIME WEST
MN
01
—
524G3CH
BCBSMN
MN
01
—
56308-A003
TRIWEST
MN
05
—
652620900
—
MN
01
—
990991049165
BHP PREFERRED 1
MN
Enumeration date
04/24/2007
Last updated
04/05/2012
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