Individual
GEORGIANNA SLOATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
38 KELLEY ST, BRISTOL, CT 06010-5715
(860) 314-1236
Mailing address
45 S STREET EXT, BRISTOL, CT 06010-6416
(860) 205-3672
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001354
CT
Other
Enumeration date
12/21/2009
Last updated
12/21/2009
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