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Individual
KELLYE HUTTON SLAGGERT
Active
Individual
KELLYE HUTTON SLAGGERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9122
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6301007938
STATE OF MICHIGAN BOARD OF PSYCHOLOGY
MI
01
—
LPC911
NORTH CAROLINA LPC
NC
Enumeration date
12/06/2012
Last updated
04/17/2019
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