Individual
TENNILLE SLAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 LAKEVIEW AVE, SAINT JOSEPH, MI 49085-2379
(269) 932-7860
Mailing address
2900 LAKEVIEW AVE, SAINT JOSEPH, MI 49085-2379
(269) 932-7860
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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