Most Relevant Information
Provider Data
| NPI Number: | 1003007261 |
| Provider Name: | JUDITH A TATE LSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/05/2007 |
| Last Updated: | 04/22/2020 |
Provider Practice Location
1330 E COOLEY DR
COLTON
CA
923243905
Practice Location Phone/Fax
| Phone: | 9095803705 |
| Fax: | 9098033747 |
Provider Mailing Location
1330 E COOLEY DR
COLTON
CA
923243905
Provider Mailing Phone/Fax
| Phone: | 9095803705 |
| Fax: | 9095803747 |