Individual
DR. CLARK SLAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
901 PAVERSTONE DR, RALEIGH, NC 27615-4710
(919) 818-4284
Mailing address
106 LEXINGTON CIR, CHAPEL HILL, NC 27516-3235
(801) 214-4206
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
5124
NC
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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