Individual
PAMELA G SLATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
214 E MAIN ST, TUCUMCARI, NM 88401-2223
(575) 799-1691
Mailing address
255 MAGNOLIA RD, NEWKIRK, NM 88431-9001
(575) 799-1691
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-08118
NM
Other
Enumeration date
09/02/2009
Last updated
12/24/2022
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