Individual
EMILY BLAIR SLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
280 HOMESTEAD RD, DIVIDE, CO 80814-8906
(719) 357-8208
Mailing address
280 HOMESTEAD RD, DIVIDE, CO 80814-8906
(719) 357-8208
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
67581
TX
Other
Enumeration date
11/17/2022
Last updated
11/18/2022
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