Individual
TANNER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1030 5TH AVE SE STE 3000, CEDAR RAPIDS, IA 52403-2416
(319) 286-4545
(319) 368-3358
Mailing address
201 E 9TH ST APT 314, CORALVILLE, IA 52241-2232
(641) 814-3936
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
100305
IA
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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