Individual
TAMARA STATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3108 44TH AVE S, MINNEAPOLIS, MN 55406-2314
(612) 251-5080
Mailing address
3108 44TH AVE S, MINNEAPOLIS, MN 55406-2314
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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