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Individual

MR. ANTONIO TATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
3062 E 91ST ST, CHICAGO, IL 60617-4401
(773) 371-2932
(773) 371-2950
Mailing address
600 ST PAUL AVE, LOS ANGELES, CA 90017-2038

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
01/20/2015
Last updated
09/11/2025
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