Individual
GRETA SLABACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
205 SOUTHERN CROSS DR, MIDDLEBURY, IN 46540
(574) 370-1676
Mailing address
205 SOUTHERN CROSS DR, MIDDLEBURY, IN 46540
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
U1-0001748
DE
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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