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Individual

TAMMIE SINGER ROSENBLOOM

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
2550 UNIVERSITY AVE W, STE 229N, ST PAUL, MN 55114
(651) 645-3115
(651) 645-2752
Mailing address
2511 WASHBURN AVE S, MINNEAPOLIS, MN 55416
(612) 377-1717

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
09368
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07G73R0
BC BS OF MN
MN
01
62 92014
MEDICA
MN
Enumeration date
12/28/2005
Last updated
07/08/2007
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