Individual
HEATHER SLATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3340 BAILEY AVE, #20J, BRONX, NY 10463-5742
(646) 305-3965
Mailing address
3340 BAILEY AVE, #20J, BRONX, NY 10463-5742
(646) 305-3965
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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