KEVIN GLEN TANNER

SACRAMENTO, CA
NPI1760502280
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  29267)
Enumeration Date2007-03-29
Last Update Date2016-02-22
Business Address
-- KEVIN GLEN TANNER LCSW
4092 SAVANNAH LANE
SACRAMENTO, CA 95823
Phone number: 503-752-9496
Mailing Address
-- KEVIN GLEN TANNER LCSW
3105 1ST AVE STE C
SACRAMENTO, CA 95817-1914
Phone number: 916-549-7802
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