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Individual

MR. CLARENCE EDWARD SLAUGHTER JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
3015 BROAD BRANCH CIR, RICHMOND, VA 23238-6463
(314) 540-3115
Mailing address
3015 BROAD BRANCH CIR, RICHMOND, VA 23238-6463
(314) 540-3115

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00005244
WA

Other

Enumeration date
06/01/2022
Last updated
06/01/2022
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