KIMBALL TATE

specializing in counselor in Bastrop, Louisiana

NPI: 1386186039

Provider Type

1

Practice Locations

Mailing Location

209 W JEFFERSON AVE

BASTROP, LA 71220

📞 3182393890

Practice Location

209 W JEFFERSON AVE

BASTROP, LA 71220

📞 3182393890

Provider Information

Gender:M
Sole Proprietor:No
Enumeration Date:11/12/2016
Last Updated:11/12/2016

Credentials

Primary Credential: