Individual
CHRISTIAN MARIE TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-A
Contact information
Practice address
1350 S KINGS DR, CHARLOTTE, NC 28207-2134
(704) 446-1422
Mailing address
7014 SMITH CORNERS BLVD # 1080, CHARLOTTE, NC 28269-3793
(704) 761-8322
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P019129
NC
Other
Enumeration date
11/24/2023
Last updated
02/02/2025
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