Tamara Kincaid, LICSW
Social Worker, Clinical in Stillwater, MN. Individual provider (NPI-1).
NPI number1649920828
StatusActive
Last updated in NPPESMar 28, 2022
Details
- NPI
- 1649920828
- Entity type
- Individual (NPI-1)
- Name
- Tamara Kincaid
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 28, 2022
- Certification date
- Mar 28, 2022
- Last updated
- Mar 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 1099 | MN | Yes |
Practice location
1050 Gilbert CtStillwater, MN 55082-5988
Phone 651-260-1813
Mailing address
1050 Gilbert CtStillwater, MN 55082-5988
Phone 651-260-1813
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All 39 Clinical Social Worker providers in Stillwater · All 1,218 providers in Stillwater
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