Individual
CICELY SLAY
Active
Individual
CICELY SLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
251K00000X
Public Health or Welfare Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
347C00000X
Private Vehicle
Primary
874693497
NC
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
Update your record
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