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1114439254
JOHN TATE
RACINE, WI
NPI
1114439254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 130356-121)
Enumeration Date
2017-10-30
Last Update Date
2017-10-30
Business Address
JOHN TATE APSW
420 7TH ST
RACINE, WI 53403-1222
Phone number: 262-634-2391
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Mailing Address
JOHN TATE APSW
2044 KINZIE AVE
RACINE, WI 53405-2612
Phone number:
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