Individual
LORETTA E TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
3980 W WEDINGTON DR STE 9, FAYETTEVILLE, AR 72704-5791
(479) 263-7602
Mailing address
203 SHORELINE DR, SPRINGDALE, AR 72764-2532
(985) 209-5327
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1511124
AR
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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