Individual
BETH ANNE SLAUGHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
MADIGAN ARMY MEDICAL CTR, 9040 REID ST., ATTN:MCHJ-QCR, TACOMA, WA 98431-1100
(253) 968-2252
Mailing address
565 E BROWN AVE, FRESNO, CA 93704-5406
(559) 355-1336
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
26173
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26173
LCSW LICENSE #
CA
Enumeration date
05/24/2010
Last updated
06/25/2021
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