Individual
MORGAN SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4855 COLONY CHURCH RD APT 9, SAINT LOUIS, MO 63129-1156
(228) 234-4551
Mailing address
4855 COLONY CHURCH RD APT 9, SAINT LOUIS, MO 63129-1156
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
041448922
IL
163WM0705X
Medical-Surgical Registered Nurse
2017002238
MO
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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