TARA J SONG Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149029431

License Status

ACTIVE

Business

First Name

TARA

Middle

Last Name

SONG

Business Name

TARA J SONG

Original Issue Date

05/28/2025

Effective Date

10/27/2025

Expiration Date

11/30/2027

City

EDEN PRAIRIE

State

Zip

55347

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/27/2025