Individual
CHARISSA MARIE SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
57950 LEAVENWORTH ST, MCCONNELL AFB, KS 67221-3505
(316) 759-5091
Mailing address
809 E MAIN ST APT 922, LEXINGTON, SC 29072-3692
(360) 561-1592
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
SC
Other
Enumeration date
06/14/2023
Last updated
08/28/2025
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