BRANDON J TANNER

ELGIN, IL
NPI1760523906
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149004626)
Enumeration Date2007-02-09
Last Update Date2007-07-08
Business Address
Mr. BRANDON J TANNER LCSW
2050 LARKIN AVE SUITE 202
ELGIN, IL 60123-4405
Phone number: 847-697-2400
Mailing Address
Mr. BRANDON J TANNER LCSW
215 COUNTRY LN
ALGONQUIN, IL 60102-1964
Phone number: 847-436-4309
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