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Individual

EMMA SLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW,LSW

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
150.117990
IL
1041C0700X
Clinical Social Worker
Primary
150.117990
IL

Other

Enumeration date
04/07/2026
Last updated
05/07/2026
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