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1093173478
A JEAN TANNER
LOUISVILLE, KY
NPI
1093173478
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY KY 411)
Enumeration Date
2016-02-01
Last Update Date
2016-02-01
Business Address
Ms. A JEAN TANNER LCSW
161 SAINT MATTHEWS AVE SUITE 18
LOUISVILLE, KY 40207-3145
Phone number: 502-930-1113
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Mailing Address
Ms. A JEAN TANNER LCSW
161 SAINT MATTHEWS AVE SUITE 18
LOUISVILLE, KY 40207-3145
Phone number: 502-930-1113
Copy
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