JASON MATTHEW TANNER

FAIRHOPE, AL
NPI1255588166
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: AL  0873C)
Enumeration Date2008-08-21
Last Update Date2008-08-21
Business Address
MR. JASON MATTHEW TANNER LCSW
372 S GREENO RD
FAIRHOPE, AL 36532-1916
Phone number: 251-990-4243
Mailing Address
MR. JASON MATTHEW TANNER LCSW
372 S GREENO RD
FAIRHOPE, AL 36532-1916
Phone number: 251-990-4243
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