Individual
JULIE SUTTLES TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
431 GREEN ST NW, GAINESVILLE, GA 30501-3349
(470) 460-5582
(877) 684-1686
Mailing address
4619 ENFIELD DR, GAINESVILLE, GA 30506-4663
(404) 771-0178
(770) 219-2664
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW007868
GA
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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