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Individual

JACIE LAUREN SLOCUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDN, LD, CDCES

Contact information

Practice address
1011 E MONTCLAIR ST, SPRINGFIELD, MO 65807-5075
(417) 269-1010
(417) 269-6755
Mailing address
3007 106TH ST, LUBBOCK, TX 79423-6701

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86065446
TX

Other

Enumeration date
10/17/2017
Last updated
01/25/2023
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