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KOTATEE TAMBA, LP, LICSW
LP, LICSW
Psychologist
NPI: 1366852972IndividualAccepts Medicare
Specialties, Licenses & Credentials
Clinical Social Worker
Social Worker — Clinical
Code: 1041C0700X
21317(MN)
PsychologistPrimary
Psychologist
Code: 103T00000X
LP7120(MN)
CMS Specialties
PrimaryCLINICAL SOCIAL WORKER
Education
OTHER
Class of 2020
Contact & Hours
- Address
- 2500 2ND ST NE APT 607
MINNEAPOLIS, MN 55418 - Phone
- (651) 497-9483
Quick Facts
- NPI
- 1366852972
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 6
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