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Organization

SLATER THERAPEUTIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA SLATER LPC (OWNER/ COUNSELOR)
(704) 449-0792
Entity
Organization

Contact information

Practice address
3703 MAIN ST # 5, COLLEGE PARK, GA 30337-3544
(770) 569-3224
Mailing address
3703 MAIN ST # 5, COLLEGE PARK, GA 30337-3544

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor

Other

Enumeration date
10/18/2023
Last updated
10/18/2023
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