Individual
MS. ASHLEY BROOKE TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
HUTCHINGS PSYCHIATRIC CENTER, 620 MADISON ST, SYRACUSE, NY 13210
(315) 426-3600
Mailing address
116 COLUMBIA AVE, SYRACUSE, NY 13207-1608
(917) 596-3135
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
078955
NY
Other
Enumeration date
06/16/2008
Last updated
06/12/2018
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