LILLIE TATE

BELLEVILLE, IL
NPI1720884646
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: IL  150.116015)
Enumeration Date2025-02-21
Last Update Date2025-02-21
Business Address
LILLIE TATE
337 RADCLIFF RD
BELLEVILLE, IL 62221-5116
Phone number: 618-920-0454
Mailing Address
LILLIE TATE
337 RADCLIFF RD
BELLEVILLE, IL 62221-5116
Phone number: 618-920-0454
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