Individual
WILLIAM JOSEPH SLATTERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 CESERY BLVD, SUITE 100, JACKSONVILLE, FL 32211-5674
(904) 730-6288
Mailing address
1100 CESERY BLVD, SUITE 100, JACKSONVILLE, FL 32211-5674
(904) 730-6288
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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