Individual
MR. WAYNE GEORGE TANZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
8013 NEW LAGRANGE RD., SUITE 1, LOUISVILLE, KY 40222-4700
(502) 551-0526
(502) 429-6562
Mailing address
8013 NEW LAGRANGE RD., SUITE 1, LOUISVILLE, KY 40222-4700
(502) 551-0526
(502) 429-6562
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3501
KY
Other
Enumeration date
05/16/2007
Last updated
04/11/2011
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