| Tamara L. Kaiser Llc | |
|
2301 Como Ave Ste 204 Saint Paul MN 55108-1742 | |
| (612) 825-8053 | |
| Not Available |
| Full Name | Tamara L. Kaiser Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2301 Como Ave Ste 204, Saint Paul, Minnesota |
| Authorized Official Name and Position | Tamara Lynn Kaiser (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6128258053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tamara L. Kaiser Llc 2301 Como Ave Ste 204 Saint Paul MN 55108-1742 Ph: (612) 825-8053 | Tamara L. Kaiser Llc 2301 Como Ave Ste 204 Saint Paul MN 55108-1742 Ph: (612) 825-8053 |
| NPI Number | 1083944367 |
|---|---|
| Provider Enumeration Date | 01/08/2010 |
| Last Update Date | 01/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083944367 | NPI | - | NPPES |
| 4G751KA | Other | MN | BLUE CROSS |
| 62-28270 | Other | MN | UBH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 01158 (Minnesota) | Primary |
| 106H00000X | Marriage & Family Therapist | 216 (Minnesota) | Secondary |
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