Theresa Anne Slayton LCSW

NPI 1063693265 - Social Worker - 1041C0700X

NPI Details
NPI 1063693265
Gender Female
Enumeration Date 11/16/2007
Last Updated 11/16/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
656A N 36TH ST
LAFAYETTE IN, 47905-4474, US
Phone (765) 449-1759
Fax (765) 449-1769
Business Location
656A N 36TH ST
LAFAYETTE IN, 47905-4474, US
Phone (765) 449-1759
Fax (765) 449-1769
Toxanomy
Taxonomy Code 1041C0700X
License State Indiana
License Number 34002749
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According to our database, Ms. Theresa Anne Slayton LCSW NPI is 1063693265, taxonomy code is 1041C0700X and license number is 34002749, license state is located at Indiana. Theresa Anne Slayton LCSW physically located at 656a N 36th St, Lafayette IN, 47905-4474. NPI Number Theresa Anne Slayton LCSW has the Individual type.

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1063693265 NPI number is provided on an as is basis without warranty of any kind. 1063693265 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Anne Slayton LCSW are for informational purposes only.