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Robert M Tanner, LCSW, ACSW

Social Worker, Clinical in Schaumburg, IL. Individual provider (NPI-1).

NPI number1932243151
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1932243151
Entity type
Individual (NPI-1)
Name
Mr. Robert M Tanner
Credential
LCSW, ACSW
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 19, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical159-000526ILYes

Practice location

123 Barrett Ln
Schaumburg, IL 60193-2907

Phone 847-352-6620

Mailing address

123 Barrett Ln
Schaumburg, IL 60193-2907

Phone 847-352-6620

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