TRAVIS TANNER

NEW YORK, NY
NPI1811371727
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  087599)
Enumeration Date2015-07-10
Last Update Date2019-01-12
Business Address
TRAVIS TANNER lcsw
225 W 35TH ST FL 7
NEW YORK, NY 10001-1904
Phone number: 917-909-2332
Mailing Address
TRAVIS TANNER lcsw
3149 36TH ST APT 4C
ASTORIA, NY 11106-1055
Phone number: 917-909-2332
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