Individual
MAGEN SLAUGHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1707 LINWOOD DR STE B, PARAGOULD, AR 72450-5365
(870) 604-4455
Mailing address
1707 LINWOOD DR STE B, PARAGOULD, AR 72450-5365
(870) 604-4455
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4144-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228071719
—
AR
Enumeration date
03/27/2013
Last updated
02/26/2025
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