Madler, Tamara Marie

Madler, Tamara Marie is an individual health care provider with primary practice located at 1351 Page Dr S Ste 201 , Fargo ND 58103-3536. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Madler, Tamara Marie can be contacted via phone (701) 203-9013.

Contact Information

Primary practice address
1351 Page Dr S Ste 201 Fargo ND 58103-3536
Phone: (701) 203-9013
Fax: (855) 938-2249
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 3137 North Dakota

Profile Details

NPI number 1053474411
LBN Legal business name Madler, Tamara Marie
Credentials LCSW, LAC, LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Sep 19th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053474411 NPPES
North Dakota MEDICAID 19151
North Dakota MEDICAID 893674100

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