Individual
ALEX TARASAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1675 BEAM AVE STE 101, MAPLEWOOD, MN 55109-1478
(651) 309-0200
Mailing address
19004 12TH AVE NE, SHORELINE, WA 98155-2243
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34430
MN
1041C0700X
Clinical Social Worker
LW61567836
WA
Other
Enumeration date
09/13/2022
Last updated
05/22/2025
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