Individual
MRS. MARTHA M. TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
900 KIPLING DR NW, ATLANTA, GA 30318-1637
(404) 352-4045
(404) 351-2548
Mailing address
900 KIPLING DR NW, ATLANTA, GA 30318-1637
(404) 352-4045
(404) 351-2548
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1424
GA
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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