Individual
MS. TAMARA JEAN GRAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
2499 RICE ST STE 40, ROSEVILLE, MN 55113-3724
(651) 645-6100
Mailing address
PO BOX 40502, SAINT PAUL, MN 55104-8502
(651) 645-6100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
300513
MN
Other
Enumeration date
05/16/2007
Last updated
06/09/2019
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