Individual
MRS. KIMBERLY F TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
695 SOUTH ST, CHARDON, OH 44024-1474
(440) 286-1553
(440) 286-1318
Mailing address
695 SOUTH ST, CHARDON, OH 44024-1474
(440) 286-1553
(440) 286-1318
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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