Individual
CAROLYN SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. C.G.C.
Contact information
Practice address
101 PLAIN STREET, 6TH FLOOR, MATERNAL FETAL MEDICINE, PROVIDENCE, RI 02903-4829
(401) 274-1122
(401) 453-7622
Mailing address
455 TOLL GATE RD, PRC AND CREDENTIALING, WARWICK, RI 02886-2759
(401) 273-0641
(401) 273-2919
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC00005
RI
170300000X
Genetic Counselor (M.S.)
GC067
MA
Other
Enumeration date
12/13/2006
Last updated
08/30/2024
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