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Individual
KAREN SLATTERY
Active
Individual
KAREN SLATTERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
949
WI
163W00000X
Registered Nurse
63481-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
949-132
STATE LICENSE
WI
Enumeration date
08/11/2006
Last updated
04/15/2013
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