Individual
MS. A JEAN TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
161 SAINT MATTHEWS AVE, SUITE 18, LOUISVILLE, KY 40207-3145
(502) 930-1113
(502) 290-6800
Mailing address
161 SAINT MATTHEWS AVE, SUITE 18, LOUISVILLE, KY 40207-3145
(502) 930-1113
(502) 290-6800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
KY 411
KY
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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