Ebony Tanner, LCSW

NPI #1255677654 in Grandview, Missouri

Provider Information

NPI Number: 1255677654
Entity Type: Individual
Name: Ebony Tanner, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Dec 13, 2012
Last Updated: Aug 6, 2013

Practice Location

Address: 13313 CRYSTAL AVE
City: Grandview
State: Missouri
ZIP Code: 64030-3338
Phone: (816) 853-7273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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