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1144909623
SANDRA ANN TATE
PORTLAND, OR
NPI
1144909623
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: OR L7459)
Enumeration Date
2023-07-12
Last Update Date
2023-07-12
Business Address
MS. SANDRA ANN TATE LCSW
1231 NE MARTIN LUTHER KING JR BLVD APT 616
PORTLAND, OR 97232-2074
Phone number: 503-830-4429
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Mailing Address
MS. SANDRA ANN TATE LCSW
1231 NE MARTIN LUTHER KING JR BLVD APT 616
PORTLAND, OR 97232-2074
Phone number: 503-830-4429
Copy
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