Organization
MARIA MARINO AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA EUGENIA TATZMANN MSW, LICSW (OWNER)
(612) 719-7298
Entity
Organization
Contact information
Practice address
3300 COUNTY ROAD 10, BROOKLYN CENTER, MN 55429-3072
(612) 719-7298
(763) 898-3584
Mailing address
5615 100TH LN N, BROOKLYN PARK, MN 55443-5700
(612) 719-2842
(763) 898-3584
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
LICSW 13814
MN
261QM0855X
Adolescent and Children Mental Health Clinic/Center
13814
MN
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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