JOHN TATE

RACINE, WI
NPI1114439254
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  130356-121)
Enumeration Date2017-10-30
Last Update Date2017-10-30
Business Address
JOHN TATE APSW
420 7TH ST
RACINE, WI 53403-1222
Phone number: 262-634-2391
Mailing Address
JOHN TATE APSW
2044 KINZIE AVE
RACINE, WI 53405-2612
Phone number: