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1679948434
LANDEN TANNER SAFFLES
FORT CAMPBELL, KY
NPI
1679948434
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Former Name
BO TANNER SAFFLES
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TN 6213)
Enumeration Date
2015-12-04
Last Update Date
2018-06-21
Business Address
Mr. LANDEN TANNER SAFFLES LCSW
650 JOEL DR
FORT CAMPBELL, KY 42223
Phone number: 423-836-1622
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Mailing Address
Mr. LANDEN TANNER SAFFLES LCSW
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 423-836-1622
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