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1801597299
JENNIFER LYNN TANNER
WOODBRIDGE, VA
NPI
1801597299
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: VA 0709025176)
Enumeration Date
2023-03-13
Last Update Date
2024-02-08
Business Address
JENNIFER LYNN TANNER MHC
4899 PRINCE WILLIAM PKWY
WOODBRIDGE, VA 22192-5434
Phone number: 833-510-4357
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Mailing Address
JENNIFER LYNN TANNER MHC
4600 MONTGOMERY RD STE 400
CINCINNATI, OH 45212-2600
Phone number: 513-873-1269
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