Individual
MRS. NICKIE RENE SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4102 WOOLWORTH AVE, OMAHA, NE 68105-1851
(402) 444-7931
(402) 444-6338
Mailing address
4102 WOOLWORTH AVE, OMAHA, NE 68105-1851
(402) 444-7931
(402) 444-6338
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4006
NE
171M00000X
Case Manager/Care Coordinator
BSW
NE
Other
Enumeration date
12/20/2006
Last updated
10/17/2014
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