Individual
MRS. JENNIFER RAE TAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
11334 86TH AVE N, MAPLE GROVE, MN 55369
(763) 255-2125
(763) 255-2126
Mailing address
11334 86TH AVE N, MAPLE GROVE, MN 55369-4528
(763) 255-2125
(763) 255-2126
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1516
MN
Other
Enumeration date
04/23/2008
Last updated
08/21/2018
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