| Mrs Tara M Prom, LICSW | |
|
22 Wilson Ave Ne Suite 110, Po Box 6069, Saint Cloud, MN 56302-6069 | |
| (320) 251-7700 | |
| (320) 251-8898 |
| Full Name | Mrs Tara M Prom |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 22 Wilson Ave Ne Suite 110, Saint Cloud, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205338969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 17338 (Minnesota) | Primary |
| 101YS0200X | Counselor - School | 429597 (Minnesota) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tara M Prom, LICSW 1114 Somerset Blvd, Saint Cloud, MN 56303-0750 Ph: (320) 266-0241 | Mrs Tara M Prom, LICSW 22 Wilson Ave Ne Suite 110, Po Box 6069, Saint Cloud, MN 56302-6069 Ph: (320) 251-7700 |
Patricia Ann Meyer, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 | |
Brittany Holstein, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-255-6418 | |
Katherine Carol Logeais Hissam, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 Fax: 320-255-6328 | |
Carrie Gapinski, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1411 W Saint Germain St Ste 202, Saint Cloud, MN 56301 Phone: 320-247-4068 | |
Lyndsey Lanes, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 | |
Erin Talberg, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 Fax: 320-654-7662 | |
Jamie Nicole Schmitz, MSW, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-255-6480 |