Individual
MRS. MARION A SLATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
306 WEST 5TH AVENUE, NOME, AK 99762
(907) 443-4503
Mailing address
306 WEST 5TH AVENUE, NOME, AK 99762
(907) 443-4503
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
285
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
285
LMSW
AK
Enumeration date
07/19/2007
Last updated
06/22/2009
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