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1154140150
TANNER LEE GLEN
AMHERST, MA
NPI
1154140150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MA 228559)
Enumeration Date
2024-10-07
Last Update Date
2024-10-07
Business Address
TANNER LEE GLEN LCSW
159 SUMMER ST APT 44
AMHERST, MA 01002-1140
Phone number: 520-371-0680
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Mailing Address
TANNER LEE GLEN LCSW
159 SUMMER ST APT 44
AMHERST, MA 01002-1140
Phone number: 520-371-0680
Copy
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