Individual
MS. TRACY ANNE SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
1000 EDDY ST, PROVIDENCE, RI 02905-4739
(401) 261-8994
Mailing address
1000 EDDY ST, PROVIDENCE, RI 02905-4739
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
214979
MA
Other
Enumeration date
09/04/2008
Last updated
04/27/2011
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