Individual
MR. DEAN PAUL TARASEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
428 W BROADWAY ST, WINONA, MN 55987-5216
(507) 454-7711
Mailing address
N3261 BOND RD, LA CROSSE, WI 54601-2924
(715) 563-0056
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC03430
MN
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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