Individual
MS. PATRICIA A. SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
221 BENTON NECK RD., BENTON, ME 04901
(207) 453-6524
Mailing address
P.O. BOX 234, FAIRFIELD, ME 04937-0234
(207) 453-6524
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220040000
—
ME
Enumeration date
05/13/2009
Last updated
05/13/2009
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