TERRANCE NEIL TANNER

MISHAWAKA, IN
NPI1477552313
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  1041C0700X)
Enumeration Date2005-07-20
Last Update Date2023-03-17
Business Address
Mr. TERRANCE NEIL TANNER LCSW
5314 LINCOLNWAY E
MISHAWAKA, IN 46544-4249
Phone number: 574-256-9032
Mailing Address
Mr. TERRANCE NEIL TANNER LCSW
3245 HEALTH DR STE 100
GRANGER, IN 46530-1380
Phone number: 547-647-1840
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