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1255992749
TAWANNA LOUISE TANNER
PANAMA CITY, FL
NPI
1255992749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-06-25
Last Update Date
2019-06-25
Business Address
TAWANNA LOUISE TANNER
2711 W 15TH ST
PANAMA CITY, FL 32401-1366
Phone number: 850-769-6001
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Mailing Address
TAWANNA LOUISE TANNER
2293 BONNETT POND RD
CHIPLEY, FL 32428-5232
Phone number: 850-718-6291
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