Tanya Ibragic LP

NPI 1962578708 - Psychologist - 103TC0700X

NPI Details
NPI 1962578708
Gender Female
Enumeration Date 11/24/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3100 W LAKE ST
SUITE 210
MINNEAPOLIS MN, 55416-4527, US
Phone (612) 925-6033
Fax (612) 925-8496
Business Location
3100 W LAKE ST
SUITE 210
MINNEAPOLIS MN, 55416-4527, US
Phone (612) 925-6033
Fax (612) 925-8496
Toxanomy
Taxonomy Code 103TC0700X
License State Minnesota
License Number LP3559
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According to our database, Tanya Ibragic LP NPI is 1962578708, taxonomy code is 103TC0700X and license number is LP3559, license state is located at Minnesota. Tanya Ibragic LP physically located at 3100 W Lake St, Minneapolis MN, 55416-4527. NPI Number Tanya Ibragic LP has the Individual type.

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1962578708 NPI number is provided on an as is basis without warranty of any kind. 1962578708 is maintained by the National Plan & Provider Enumeration System. The contents of Tanya Ibragic LP are for informational purposes only.