Individual
DESTINY SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19616 BLOOM ST, DETROIT, MI 48234-2464
(313) 689-3052
Mailing address
19616 BLOOM ST, DETROIT, MI 48234-2464
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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