Individual
LYNN SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 EXECUTIVE POINTE BLVD STE 104, COLUMBIA, SC 29210-8681
(855) 284-7483
(617) 807-0958
Mailing address
PO BOX 748465, ATLANTA, GA 30374-8465
(855) 284-7483
(617) 807-0958
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9217
SC
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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