Laurie K. Tazelaar-Williams

Individual provider Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1154814564

Laurie K. Tazelaar-Williams is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in White Bear Lake, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in: MN
In the registry since: 2018

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Practice location Address checks out

5253 W Bald Eagle Blvd
White Bear Lake, MN 55110-6532
Phone: (612) 380-3333

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary)	Taxonomy 320900000X (MN)

Record details

NPI number	1154814564
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	June 11, 2018
Last updated in NPPES	June 11, 2018