Individual
MRS. DEBORAH LEE SLOCUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAG, RD, LD/N, CDE
Contact information
Practice address
480 WEST LOWDER STREET, BAKER COUNTY HEALTH DEPARTMENT, MACCLENNY, FL 32063
(904) 259-6291
(904) 259-1950
Mailing address
580 FOX RUN CIR, MACCLENNY, FL 32063-8607
(904) 588-8656
(904) 276-8506
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND3270
FL
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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