Individual
MR. TATE CHRISTOPHER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
294 GREEN VALLEY RD, WATSONVILLE, CA 95076-1300
(831) 786-2100
Mailing address
1 DANA CT, SCOTTS VALLEY, CA 95066-3974
(831) 345-4121
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
Primary
240175414
CA
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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