Individual
KIZZY SLAUGHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 JACKSON ST STE 111B3600, ALEXANDRIA, LA 71303-3040
(318) 483-4155
Mailing address
308 GARY K ST, PINEVILLE, LA 71360-5504
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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