Individual
COURTNEY MAE SLOCUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 SUMMER ST, STAMFORD, CT 06901-1413
(203) 290-1830
Mailing address
555 SUMMER ST, STAMFORD, CT 06901-1413
(203) 290-1830
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9358
CT
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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