Individual
MR. WILLIAM C. SLAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, CADC
Contact information
Practice address
1135 YELLOWSTONE AVE, SUITE D, POCATELLO, ID 83201-5082
(208) 237-3365
(208) 232-5423
Mailing address
147 W LINDEN AVE, CHUBBUCK, ID 83202-2306
(208) 237-3365
(208) 232-5423
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 28016
ID
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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