MARY ELLEN TANNER

COVINA, CA
NPI1063767796
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCSW73551)
Enumeration Date2012-07-18
Last Update Date2016-12-06
Business Address
-- MARY ELLEN TANNER LCSW
4740 N GRAND AVE
COVINA, CA 91724-2005
Phone number: 626-859-2089
Mailing Address
-- MARY ELLEN TANNER LCSW
4740 N GRAND AVE
COVINA, CA 91724-2005
Phone number: 626-859-2089
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