Individual
TARA J RENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1218 SIMLE DR, BISMARCK, ND 58501-2981
(701) 323-4600
Mailing address
1218 SIMLE DR, BISMARCK, ND 58501-2981
(701) 323-4600
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
3576
ND
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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