Individual
TARA FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
575 BIRCH ST, LINO LAKES, MN 55014-1369
(763) 792-6144
Mailing address
3114 ARTHUR ST NE, MINNEAPOLIS, MN 55418-2211
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1005279
MN
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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