Individual
CASEY M TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
503 SE LINDSEY, HOXIE, AR 72433
(870) 886-1333
(870) 886-1334
Mailing address
503 SE LINDSEY, PO BOX 299, HOXIE, AR 72433
(870) 886-1333
(870) 886-1334
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2647-M
AR
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
07/13/2007
Last updated
03/14/2018
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