Individual
MS. JENNIE SUSAN TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
15982 E HIGH ST, MIDDLEFIELD, OH 44062-9474
(440) 749-8379
Mailing address
1236 EASTWOOD AVE, MAYFIELD HEIGHTS, OH 44124-1504
(440) 749-8379
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
OH
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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