TARA PROM, LICSW

LICSW

Clinical Social Worker

NPI: 1205338969Individual

Specialties, Licenses & Credentials

Clinical Social WorkerPrimary

Social Worker — Clinical

Code: 1041C0700X

17338(MN)

School Counselor

Counselor — School

Code: 101YS0200X

429597(MN)

Contact & Hours

Address: 22 WILSON AVE NE SUITE 110, PO BOX 6069
SAINT CLOUD, MN 56302
Phone: (320) 251-7700

Quick Facts

NPI: 1205338969
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 2
Locations: 1

Are you this provider?

Claim Your Profile