RAVEN TATE

Peer Specialist

Active Individual
NPI: 1962226399

Practice Address

698 WESTSIDE DR STE 102
Durant, OK 74701

Phone: (580) 924-7331

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1962226399 is the National Provider Identifier for RAVEN TATE, a Peer Specialist provider located in Durant, OK. This NPI was enumerated on November 12, 2024.
RAVEN TATE practices at 698 WESTSIDE DR STE 102, Durant, OK 74701.

Quick Facts

NPI
1962226399
Type
Individual
Enumerated
Nov 12, 2024
Last Updated
Nov 12, 2024

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