MRS. AUDREY JEAN TATE, LPC, AT, CDCA
Social Work at Midway Blvd, Elyria, OH

License number
Ohio C 1300788
Category
Social Work
Type
Counselor
License number
Ohio 151783
Category
Social Work
Type
Addiction (Substance Use Disorder)
Address
Address 2
347 Midway Blvd SUITE 200, Elyria, OH 44035
17852 Cannon Ave #UP, Cleveland, OH 44107
Phone
(440) 324-5701
(440) 324-9978 (Fax)
(216) 501-0799
National Provider ID: 1508225459
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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