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1568917730
TANNER LCSW, LLC
LAS VEGAS, NM
NPI
1568917730
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Entity Type
Organization
Authorized Contact
DANITA TANNER
Director
808-635-8057
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2016-08-17
Last Update Date
2016-08-17
Business Address
TANNER LCSW, LLC
916 6TH ST
LAS VEGAS, NM 87701-4307
Phone number: 808-635-8057
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Mailing Address
TANNER LCSW, LLC
932 GALLINAS ST
LAS VEGAS, NM 87701-3891
Phone number:
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