Individual
MS. TARA JEAN MINDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
7785 SAINT GERTRUDE AVE, RALEIGH, ND 58564-4103
(701) 597-3419
Mailing address
7785 SAINT GERTRUDE AVE, RALEIGH, ND 58564-4103
(701) 597-3419
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3735
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027515
BLUE CROSS BLUE SHIELD
ND
05
—
74007
—
ND
Enumeration date
03/27/2007
Last updated
07/08/2007
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