MR. Jason Matthew Tanner, LCSW

NPI #1255588166 in Fairhope, Alabama

Provider Information

NPI Number
1255588166
Entity Type
Individual
Name
MR. Jason Matthew Tanner, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Aug 21, 2008
Last Updated
Aug 21, 2008

Practice Location

Address
372 S GREENO RD
State
Alabama
ZIP Code
36532-1916
Phone
(251) 990-4243

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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