TANNER LEE GLEN

BROOKLINE, MA
NPI1154140150
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  228559)
Enumeration Date2024-10-07
Last Update Date2025-11-24
Business Address
TANNER LEE GLEN LICSW
1180 BEACON ST STE 4C
BROOKLINE, MA 02446-3806
Phone number: 413-273-6474
Mailing Address
TANNER LEE GLEN LICSW
159 SUMMER ST APT 44
AMHERST, MA 01002-1140
Phone number: 520-371-0680
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