Individual
MORGAN EARLISSA TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 UNIVERSITY DR SE APT 206, SAINT CLOUD, MN 56304-2070
(612) 296-7975
Mailing address
1700 UNIVERSITY DR SE APT 206, SAINT CLOUD, MN 56304-2070
(612) 296-7975
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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