Individual
NICOLE C SLATTENGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1613 TROPICAL DR, LAKE WORTH, FL 33460-5349
(218) 348-0798
Mailing address
1613 TROPICAL DR, LAKE WORTH, FL 33460-5349
(218) 348-0798
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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