Individual
MS. ALICIA MARIE SLATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
505 SECOND ST, PELAHATCHIE, MS 39145-3044
(601) 854-5775
Mailing address
PO BOX 147, D LO, MS 39062-0147
(601) 454-9966
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0315
MS
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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