Individual
CIERRA TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
260 PEACHTREE ST NW, ATLANTA, GA 30303-1202
(847) 868-6531
Mailing address
6137 N BERNARD ST, CHICAGO, IL 60659-2211
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
012915
GA
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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