Individual
KIMBERLY LEE SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
709 MAHONING AVE NW, WARREN, OH 44483
(234) 243-2771
Mailing address
709 MAHONING AVE, WARREN, OH 44483
(234) 243-2771
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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