Most Relevant Information
Provider Data
| NPI Number: | 1003402231 |
| Provider Name: | TARA NOELLE TAPPE LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 27497 |
Most Important Dates
| Enumeration Date: | 12/11/2020 |
| Last Updated: | 12/11/2020 |
Provider Practice Location
9220 BASS LAKE RD STE 255
NEW HOPE
MN
554283019
Practice Location Phone/Fax
| Phone: | 7632254052 |
| Fax: |
Provider Mailing Location
7625 METRO BLVD STE 200
EDINA
MN
554393079
Provider Mailing Phone/Fax
| Phone: | 9529454092 |
| Fax: |