MISS Aundrea Chablis Tate

NPI #1043467780 in Mccomb, Mississippi

Provider Information

NPI Number: 1043467780
Entity Type: Individual
Name: MISS Aundrea Chablis Tate
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Aug 25, 2008
Last Updated: Aug 25, 2008

Practice Location

Address: 1701 WHITE ST
City: Mccomb
State: Mississippi
ZIP Code: 39648-2711
Phone: (601) 249-4219

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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