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MRS. VIRGINIA CLARE TATE MCD, CCC-SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1235369661

Individual Registrant:
MRS. VIRGINIA CLARE TATE MCD, CCC-SLP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1502 MAIN ST  GREENSBORO, AL 36744-1552 US
Tel: 334-341-4548  Fax: 334-341-5168

Contact information for business:
PO BOX 3519  MERIDIAN, MS 39303-3519 US
Tel: 601-581-1191  Fax: 601-581-3292

Registration Information:
NPI: 1235369661
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
AL2774

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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