Individual
MS. MARY KATHLEEN TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S. ECE; SLP-A
Contact information
Practice address
205 E. NORTHERN LIGHTS BLVD, SUITE 110, ANCHORAGE, AK 99503
(907) 277-1467
Mailing address
207 E NORTHERN LIGHTS BLVD STE 110, ANCHORAGE, AK 99503-2730
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
2355S0801X
Speech-Language Assistant
Primary
145692
AK
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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