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1902412174
KRISTIN J TANNER
JOPLIN, MO
NPI
1902412174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2020030916)
Enumeration Date
2020-09-22
Last Update Date
2021-06-10
Business Address
KRISTIN J TANNER
530 E 34TH ST
JOPLIN, MO 64804-3926
Phone number: 417-347-7630
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Mailing Address
KRISTIN J TANNER
PO BOX 2526
JOPLIN, MO 64803-2526
Phone number: 417-347-7579
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