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Individual

MR. BRIAN SLAUGHTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BS, MS

Contact information

Practice address
2608 SUMMER WIND DR, WINTER PARK, FL 32792-5215
(708) 997-1492
Mailing address
1503 FLORA LEE DR, LEESBURG, FL 34748-3465
(708) 997-1492

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
174400000X
Specialist

Other

Enumeration date
01/28/2014
Last updated
11/01/2019
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