Individual
CALLIE A SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4545 SOUTH 86TH STREET, LINCOLN, NE 68526-9227
(402) 483-6990
Mailing address
4545 SOUTH 86TH STREET, LINCOLN, NE 68526-9227
(402) 483-6990
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3939
NE
104100000X
Social Worker
2410
NE
1041C0700X
Clinical Social Worker
Primary
1416
NE
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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