JUSTIN TATE

LANSING, MI
NPI1184903528
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801093280)
Enumeration Date2011-08-16
Last Update Date2011-08-16
Business Address
-- JUSTIN TATE
2800 W WILLOW ST
LANSING, MI 48917-1833
Phone number: 517-323-4734
Mailing Address
-- JUSTIN TATE
2523 EATON RD
LANSING, MI 48910-2878
Phone number: 517-881-7823
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