Individual
MR. ROBERT JOHN TATE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
38 PLEASANT ST, PORTLAND, ME 04101-3964
(207) 773-0481
(207) 541-4939
Mailing address
38 PLEASANT ST, PORTLAND, ME 04101-3964
(207) 773-0481
(207) 541-4939
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC1110
ME
Other
Enumeration date
12/02/2006
Last updated
09/21/2012
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