Individual
MRS. MICHELLE LEA SLAUGHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
418 E BROADWAY AVE STE 25, BISMARCK, ND 58501-4086
(701) 224-9611
(701) 224-9747
Mailing address
418 E BROADWAY AVE STE 25, BISMARCK, ND 58501-4086
(701) 224-9611
(701) 224-9747
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4235
ND
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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