Individual
TANNER YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
4320 DIPLOMACY DR, ANCHORAGE, AK 99508-5925
(907) 729-4369
Mailing address
4320 DIPLOMACY DR, ANCHORAGE, AK 99508-5925
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
104475
AK
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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