Individual
MRS. ASHTIN TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 PETERMAN DR STE A, ALEXANDRIA, LA 71301-3432
(318) 473-4328
Mailing address
1450 PETERMAN DR STE A, ALEXANDRIA, LA 71301-3432
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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