Individual
MS. CHERYL L TANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
26866 CO. HWY. S55, NEW PROVIDENCE, IA 50206-0008
(641) 497-5294
(641) 497-5220
Mailing address
26866 CO. HWY. S55, NEW PROVIDENCE, IA 50206-0008
(641) 497-5294
(641) 497-5220
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00940
IA
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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