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1902513369
LEA TATE
PUYALLUP, WA
NPI
1902513369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: WA SC61333093)
Enumeration Date
2022-11-03
Last Update Date
2022-11-03
Business Address
LEA TATE LSWAIC
102 23RD AVE SE UNIT 102
PUYALLUP, WA 98372-4501
Phone number: 253-987-5561
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Mailing Address
LEA TATE LSWAIC
16909 132ND AVE E
PUYALLUP, WA 98374-9570
Phone number: 864-735-6577
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