Individual
SAFIYA TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3917 GONZALES AVE, COLUMBIA, SC 29203-5768
(864) 483-2992
(864) 757-9209
Mailing address
3917 GONZALES AVE, COLUMBIA, SC 29203-5768
(864) 483-2992
(864) 757-9209
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9422
SC
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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