Individual
MR. DONOVAN XAVIER TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(720) 218-9618
Mailing address
1617 WALTHOUR RD, SAVANNAH, GA 31410-3224
(720) 218-9618
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007740
GA
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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