Individual
TARA M BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC LGSW
Contact information
Practice address
15320 MINNETONKA BLVD #200, MINNETONKA, MN 55345
(952) 932-7277
(952) 932-9827
Mailing address
15320 MINNETONKA BLVD #200, MINNETONKA, MN 55345
(952) 932-7277
(952) 932-9827
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302123
MN
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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