Individual
KAYLA TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 COURT ST, CHILTON, WI 53014-1127
(920) 849-1400
Mailing address
206 COURT ST, CHILTON, WI 53014-1127
(920) 849-1400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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