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Individual

MONIQUE TATE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
124 SAUNDERS ST, FLOVILLA, GA 30216-2106
(678) 752-8455
Mailing address
PO BOX 1841, JACKSON, GA 30233-0036
(678) 774-8057

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
171M00000X
Case Manager/Care Coordinator
Primary
174400000X
Specialist

Other

Enumeration date
05/25/2018
Last updated
05/25/2018
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