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Individual

TARAH LYNN GROETTUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSED, LPCC

Contact information

Practice address
1581 LANCASTER LN, EAGAN, MN 55122-2720
(612) 227-0971
(651) 391-2072
Mailing address
1581 LANCASTER LN, EAGAN, MN 55122-2720
(612) 227-0971
(651) 391-2072

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC03223
MN

Other

Enumeration date
04/13/2022
Last updated
02/28/2024
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