Individual
JOSAPHINA TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
622 S MEMORIAL DR, GREENVILLE, NC 27834-2854
(919) 910-4001
(919) 341-5066
Mailing address
622 S MEMORIAL DR, GREENVILLE, NC 27834-2854
(919) 910-4001
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P021109
NC
Other
Enumeration date
03/08/2021
Last updated
05/06/2025
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