DERWIN TATE

ALTADENA, CA
NPI1942430392
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2009-07-20
Last Update Date2009-07-20
Business Address
-- DERWIN TATE
760 MOUNTAIN VIEW ST
ALTADENA, CA 91001-4925
Phone number: 626-798-6793
Mailing Address
-- DERWIN TATE
760 MOUNTAIN VIEW ST
ALTADENA, CA 91001-4925
Phone number:
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