Mary Susan Tate, L.C.S.W.

NPI #1952693327 in Kankakee, Illinois

Provider Information

NPI Number
1952693327
Entity Type
Individual
Name
Mary Susan Tate, L.C.S.W.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
L.C.S.W.
Enumeration Date
May 4, 2011
Last Updated
May 4, 2011

Practice Location

Address
1905 W COURT ST
ZIP Code
60901-3163
Phone
(815) 933-2240

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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