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Individual

MR. JAMES K SLATON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1497 NASHVILLE ST, RUSSELLVILLE, KY 42276-8850
(270) 726-9568
(270) 726-9570
Mailing address
54 HIDDEN VALLEY EST, GLASGOW, KY 42141-7887
(270) 361-1300

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4020
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100347310
KY
Enumeration date
04/13/2015
Last updated
06/12/2019
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