Individual
ALEXANDRIA MADELINE SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6855 S HAVANA ST, CENTENNIAL, CO 80112-3837
(720) 896-4146
Mailing address
1425 BLUE SKY CIR UNIT 15-203, ERIE, CO 80516-4631
(303) 434-7555
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CO
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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