Individual
SOPHIE SLATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 E BENNETT ST STE D, SPRINGFIELD, MO 65804-1434
(417) 881-1900
Mailing address
1901 E BENNETT ST STE D, SPRINGFIELD, MO 65804-1434
(417) 881-1900
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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