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Individual

TATE STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BA

Contact information

Practice address
1010 S GARFIELD AVE, TRAVERSE CITY, MI 49686-3434
(231) 878-4592
Mailing address
1010 S GARFIELD AVE, TRAVERSE CITY, MI 49686-3434
(231) 878-4592

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1221975
MI
Enumeration date
02/24/2023
Last updated
02/24/2023
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