Individual
MRS. JENNIFER DARLENE SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 KARA CT, DANVERS, IL 61732-9078
(309) 242-7051
Mailing address
18 KARA CT, DANVERS, IL 61732-9078
(309) 242-7051
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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