Individual
MS. AMANDA LOUISE TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
150 CROSS STREET, COMMUNITY SUPPORT SERVICES, INC, AKRON, OH 44311-1026
(330) 996-9141
(330) 253-0377
Mailing address
150 CROSS STREET, COMMUNITY SUPPORT SERVICES, INC, AKRON, OH 44311-1026
(330) 996-9141
(330) 253-0377
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.1601288
OH
1041C0700X
Clinical Social Worker
Primary
I.2002197
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0317175
—
OH
Enumeration date
06/18/2018
Last updated
06/02/2021
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