Individual
TRAYON TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1340 W TUNNEL BLVD STE 230, HOUMA, LA 70360-2811
(504) 314-1737
Mailing address
1340 W TUNNEL BLVD STE 230, HOUMA, LA 70360-2811
(504) 314-1737
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11816
LA
Other
Enumeration date
10/23/2017
Last updated
06/20/2018
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