Sandra Lee Tazelaar, LICSW
NPI #1982648341 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1982648341
- Entity Type
- Individual
- Name
- Sandra Lee Tazelaar, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Jun 16, 2006
- Last Updated
- Nov 14, 2016
Practice Location
- Address
- 1595 SELBY AVE
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55104
- Phone
- (651) 699-6480
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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