Individual
COLTAN SLATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1158 DEL RIO RD, POWELL, WY 82435-8541
(307) 202-2686
Mailing address
1158 DEL RIO RD, POWELL, WY 82435-8541
(307) 202-2686
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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