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Individual

SHANA SLONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
7629 KY ROUTE 979, GRETHEL, KY 41631-6304
(606) 587-2200
Mailing address
1709 KY ROUTE 321 STE 3, PRESTONSBURG, KY 41653-9097
(606) 886-8546
(606) 886-8548

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary
255195
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100691610
KY
Enumeration date
03/19/2014
Last updated
09/12/2024
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