Individual
MRS. CHERYL L. TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1129 HORSESHOE RD, ELIZABETH CITY, NC 27909-8507
(252) 335-2018
(252) 335-9521
Mailing address
1129 HORSESHOE RD, ELIZABETH CITY, NC 27909-8507
(252) 335-2018
(252) 335-9521
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004438
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679704415
—
NC
Enumeration date
07/28/2009
Last updated
09/24/2021
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