TYRA SHAVON TATE

CERES, CA
NPI1104638808
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  20152)
Enumeration Date2025-01-21
Last Update Date2025-01-21
Business Address
TYRA SHAVON TATE
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-541-7441
Mailing Address
TYRA SHAVON TATE
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-541-7441
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