Individual
MR. REED W. TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7905 N MEADOWLARK WAY STE C, COEUR D ALENE, ID 83815-5041
(208) 762-1250
Mailing address
1937 W TEA OLIVE LN APT J202, COEUR D ALENE, ID 83815-1906
(208) 263-4035
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/06/2007
Last updated
02/11/2021
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