Individual
MR. WILL SLOTKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
4507 LACLEDE AVE # B, SAINT LOUIS, MO 63108-2103
(314) 361-4673
(314) 361-6649
Mailing address
508 HICKORY MNR, ARNOLD, MO 63010-2797
(314) 361-4673
(314) 361-6649
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
005034
MO
101YM0800X
Mental Health Counselor
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A836148
VALUE OPTIONS PROVIDER ID
MO
Enumeration date
12/01/2006
Last updated
07/08/2007
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