Individual
SUZANNE ELIZABETH TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
617 RIVERSIDE AVE, BURLINGTON, VT 05401-1601
(802) 864-6309
(802) 860-4324
Mailing address
617 RIVERSIDE AVE, BURLINGTON, VT 05401-1601
(802) 864-6309
(802) 860-4324
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890051194
VT
1041C0700X
Clinical Social Worker
LCS23430
CA
Other
Enumeration date
02/05/2007
Last updated
09/30/2009
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