Individual
RAJANESE TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
151 N MAIN ST, DECATUR, IL 62523-1206
(217) 362-6262
Mailing address
151 N MAIN ST, DECATUR, IL 62523-1206
(217) 362-6262
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150118090
IL
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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