Soderstrom, Tabitha

Soderstrom, Tabitha is an sole proprietor health care provider with primary practice located at 3596 Linden Ave , White Bear Lake MN 55110-4693. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Soderstrom, Tabitha can be contacted via phone (507) 215-2459.

Contact Information

Primary practice address
3596 Linden Ave White Bear Lake MN 55110-4693
Phone: (507) 215-2459
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1013556166
LBN Legal business name Soderstrom, Tabitha
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2020
Last updated Jan 6th, 2020 - about 4 years ago

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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