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Individual

DIANA MARIA LOAIZA TANGARIFE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
5005 1/2 34TH AVE S UNIT 3, MINNEAPOLIS, MN 55417-1542
(612) 548-1543
Mailing address
2101 EDINBROOK CT, BROOKLYN PARK, MN 55443-3717
(612) 770-1507

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2892
MN

Other

Enumeration date
11/28/2015
Last updated
05/25/2022
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