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1497879860
BARRY A TANNER
DETROIT, MI
NPI
1497879860
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6301002031)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
-- BARRY A TANNER PhD
4201 SAINT ANTOINE ST LIFE STRESS CENTER 3S-14
DETROIT, MI 48201-2153
Phone number: 313-745-4811
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Mailing Address
-- BARRY A TANNER PhD
4201 SAINT ANTOINE ST LIFE STRESS CENTER 3S-14
DETROIT, MI 48201-2153
Phone number: 313-745-4811
Copy
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