MR. TERRANCE TANNER, LCSW

Social Worker - Clinical

Active Individual
NPI: 1477552313

Practice Address

5314 LINCOLNWAY E
Mishawaka, IN 46544

Phone: (574) 256-9032

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 1041C0700X (IN)

Frequently Asked Questions

NPI 1477552313 is the National Provider Identifier for MR. TERRANCE TANNER, LCSW, a Social Worker - Clinical provider located in Mishawaka, IN. This NPI was enumerated on July 20, 2005.
MR. TERRANCE TANNER, LCSW practices at 5314 LINCOLNWAY E, Mishawaka, IN 46544.

Quick Facts

NPI
1477552313
Type
Individual
Enumerated
Jul 20, 2005
Last Updated
Mar 17, 2023

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