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1255588166
JASON MATTHEW TANNER
FAIRHOPE, AL
NPI
1255588166
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AL 0873C)
Enumeration Date
2008-08-21
Last Update Date
2008-08-21
Business Address
Mr. JASON MATTHEW TANNER LCSW
372 S GREENO RD
FAIRHOPE, AL 36532-1916
Phone number: 251-990-4243
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Mailing Address
Mr. JASON MATTHEW TANNER LCSW
372 S GREENO RD
FAIRHOPE, AL 36532-1916
Phone number: 251-990-4243
Copy
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