Individual
AMANDA SLOCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1471 ELMWOOD AVE, CRANSTON, RI 02910-3849
(401) 490-7320
Mailing address
1471 ELMWOOD AVE, CRANSTON, RI 02910-3849
(401) 490-7320
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/24/2010
Last updated
05/20/2013
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