Individual
MICHELLE LENA SLOCUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2431 SAND LAKE RD, ORLANDO, FL 32809-7641
(407) 857-6117
Mailing address
2431 SAND LAKE RD, ORLANDO, FL 32809-7641
(407) 857-6117
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
FL
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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