Individual
MADISYN WYNTER SLATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 S 35TH ST, GALESBURG, MI 49053-9688
(269) 397-2723
Mailing address
2277 105TH AVE, OTSEGO, MI 49078-9663
(269) 650-0150
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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