Organization
GEORGIANNA SLOATE LMFT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GEORGIANNA SLOATE LMFT (DIRECTOR)
(860) 205-3672
Entity
Organization
Contact information
Practice address
38 KELLEY STREET, BRISTOL, CT 06010
(860) 205-3672
Mailing address
45 S STREET EXT, BRISTOL, CT 06010-6416
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008013921
—
CT
Enumeration date
06/17/2019
Last updated
06/17/2019
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