Individual
MS. DORISA ANN SLAUGHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, CSW
Contact information
Practice address
504 SHUMARD OAK DR, LEXINGTON, KY 40508-1076
(859) 255-6760
Mailing address
504 SHUMARD OAK DR, LEXINGTON, KY 40508-1076
(859) 255-6760
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
3623
KY
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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