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Individual

SAMANTHA KAY SLATER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. ED, LPC

Contact information

Practice address
1332 FARRAGUT ST NW, WASHINGTON, DC 20011-6908
(419) 290-5113
Mailing address
1332 FARRAGUT ST NW, WASHINGTON, DC 20011-6908
(419) 290-5113

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PRC15149
DC

Other

Enumeration date
10/08/2020
Last updated
10/08/2020
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