Individual
TANNER CRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1099 JAY ST BLDG J, ROCHESTER, NY 14611-1153
(585) 328-0873
(585) 436-0103
Mailing address
1099 JAY ST BLDG J, ROCHESTER, NY 14611-1153
(585) 328-0873
(585) 436-0103
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
112517
NY
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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