Individual
MR. NEAL GARY TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSAC
Contact information
Practice address
344 E 100 SO, SALT LAKE CITY, UT 84111
(801) 428-3429
Mailing address
550 S 400 E, SUITE 3303, SALT LAKE CITY, UT 84111-3500
(801) 428-3429
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6855873-6006
UT
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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