Individual
MRS. TARA KEEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 AMERICAN BLVD E, SUITE 1, BLOOMINGTON, MN 55425-1232
(952) 767-2274
Mailing address
7428 FREMONT AVE S, RICHFIELD, MN 55423-3942
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC00600
MN
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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