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Individual

ANNELIESE SLATTUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1156 N BROADWAY, YONKERS, NY 10701-1108
(914) 965-3700
Mailing address
3607 CONSUELO AVE, THOUSAND OAKS, CA 91360-2613

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
235Z00000X
Speech-Language Pathologist
10968
MD
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
03/07/2021
Last updated
06/19/2024
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