Individual
CONNIE TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1919 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3453
(651) 266-7944
Mailing address
1919 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3453
(651) 266-7944
(651) 266-7944
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/22/2009
Last updated
03/17/2018
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