Individual
LAURA SLAVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
718 S STATE ST, CLARKS SUMMIT, PA 18411-1749
(570) 586-2222
(570) 585-1321
Mailing address
718 S STATE ST, CLARKS SUMMIT, PA 18411-1749
(570) 586-2222
(570) 585-1321
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
TEI001191
PA
Other
Enumeration date
12/21/2010
Last updated
12/21/2010
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