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Individual

MRS. CARLOTTA M. SLATER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC CADC

Contact information

Practice address
13854 LAKESIDE CIR STE 245, STERLING HEIGHTS, MI 48313-1316
(586) 580-4243
Mailing address
13854 LAKESIDE CIR STE 245, STERLING HEIGHTS, MI 48313-1316
(586) 580-4243

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401011148
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
382230613
FIN#
MI
Enumeration date
03/25/2010
Last updated
04/19/2017
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