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Individual

MS. STEPHANIE ANN SLAUGHTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW, LCAS-A

Contact information

Practice address
943 W ANDREWS AVE STE H, HENDERSON, NC 27536-2562
(252) 433-0061
(252) 738-2460
Mailing address
284 EXECUTIVE PARK DRIVE, SUITE 100, CONCORD, NC 28025-1894
(704) 939-1100
(704) 939-1173

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-A 2833
NC
1041C0700X
Clinical Social Worker
C006191
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
155WY
BCBS OF NC
NC
05
6007216
NC
01
C006191
NORTH CAROLINA SOCIAL WORK CERTIFICATION AND LICENSURE BOARD
NC
01
LCAS-A 2833
NORTH CAROLINA SUBSTANCE ABUSE PROFESSIONAL PRACTICE BOARD
NC
Enumeration date
10/01/2008
Last updated
07/10/2015
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