Organization
E. L. SLATER, LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EDITH SLATER LCSW (PROVIDER)
(201) 840-9047
Entity
Organization
Contact information
Practice address
6808 BERGENLINE AVENUE, SUITE 201, GUTTENBER, NJ 07093
(201) 840-9047
Mailing address
44 KNOX AVENUE, CLIFFSIDE PARK, NJ 07010
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
44SC05453500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268869
—
NJ
Enumeration date
05/21/2013
Last updated
05/21/2013
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