Individual
MISS TALEA M PLATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
7601 WAYZATA BLVD, MINNEAPOLIS, MN 55426-1626
(651) 285-9750
Mailing address
1881 FURNESS ST APT 112, MAPLEWOOD, MN 55109-4839
(651) 285-9750
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
28382
MN
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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