Most Relevant Information
Provider Data
| NPI Number: | 1003822180 |
| Provider Name: | MICHELE TANNER LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 5348309-3501 |
Most Important Dates
| Enumeration Date: | 07/31/2006 |
| Last Updated: | 04/02/2024 |
Provider Practice Location
934 S MAIN ST
LAYTON
UT
840417135
Practice Location Phone/Fax
| Phone: | 8017737060 |
| Fax: |
Provider Mailing Location
934 S MAIN ST
LAYTON
UT
840417135
Provider Mailing Phone/Fax
| Phone: | 8017737060 |
| Fax: |