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Individual

ANITA K TANNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
30400 TELEGRAPH RD STE 334, BINGHAM FARMS, MI 48025-4573
(800) 311-5365
Mailing address
27665 YVETTE DR, WARREN, MI 48088-4712
(248) 719-6292

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801018423
MI
1041C0700X
Clinical Social Worker
6801018423
MI

Other

Enumeration date
11/04/2018
Last updated
05/07/2021
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