Individual
ANNIE TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC SLP
Contact information
Practice address
1260 WEST COUNTY ROAD E, ARDEN HILLS, MN 55112
(651) 639-0942
(651) 639-1718
Mailing address
561 WEST 7TH STREET, ST. PAUL, MN 55102
(651) 225-4558
(651) 225-9474
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8501
MN
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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