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1235996745
IRVIN CLIFFORD TATE
HAYWARD, CA
NPI
1235996745
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 15003)
Enumeration Date
2024-03-01
Last Update Date
2024-03-01
Business Address
IRVIN CLIFFORD TATE
2575 DEPOT RD
HAYWARD, CA 94545-2341
Phone number: 510-784-5874
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Mailing Address
IRVIN CLIFFORD TATE
2321 INTERNATIONAL BLVD
OAKLAND, CA 94601-1018
Phone number: 602-663-8153
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