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Organization
SLATER THERAPEUTIC LLC
Active
Organization
SLATER THERAPEUTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA SLATER LPC (OWNER/ COUNSELOR)
(704) 449-0792
Entity
Organization
Contact information
Practice address
3703 MAIN ST # 5, COLLEGE PARK, GA 30337-3544
(770) 569-3224
Mailing address
3703 MAIN ST # 5, COLLEGE PARK, GA 30337-3544
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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