Laurie K. Tazelaar-Williams

NPI #1154814564 in White Bear Lake, Minnesota

Provider Information

NPI Number
1154814564
Entity Type
Individual
Name
Laurie K. Tazelaar-Williams
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Jun 11, 2018
Last Updated
Jun 11, 2018

Practice Location

Address
5253 W BALD EAGLE BLVD
ZIP Code
55110-6532
Phone
(612) 380-3333

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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