Individual
ALLISON TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39 CANEFIELD DR, CARTERSVILLE, GA 30120-8725
(678) 372-5272
Mailing address
39 CANEFIELD DR, CARTERSVILLE, GA 30120-8725
(678) 372-5272
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW0066236
GA
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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