Individual
TARA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9701 NICOLLET AVE S, BLOOMINGTON, MN 55420-4448
(952) 681-5029
Mailing address
1350 W 106TH ST, BLOOMINGTON, MN 55431-4126
(952) 681-5029
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
17753
MN
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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