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NPI Code Detail

MEDICARE: LETICIA SLATES

MEDICARE:   LETICIA  SLATES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker6801090360MI

General Provider Information

NPI Number : 1942449830
Entity Type Code : Individual
Provider Name (Legal Business Name) : LETICIA SLATES
Provider Business Mailing Address
First Line : 690 S TRUMBULL ST
Second Line :
City : BAY CITY
State : MI
Zip : 48708-7692
Country : US
Telephone Number : 989-922-4900
Fax Number : 989-922-4911
Provider Business Practice Location Address
First Line : 690 S TRUMBULL ST
Second Line :
City : BAY CITY
State : MI
Zip : 48708-7692
Country : US
Telephone Number : 989-922-4900
Fax Number : 989-922-4911
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2009
Last Update Date : 02/17/2009

Similar Medicare Providers

1821773375 — DUSTIN FODO LMSW
Practice Location Address:
690 S TRUMBULL ST
BAY CITY, MI
48708-7692
Practice Phone: 989-922-5700
Practice Fax: 989-771-7050
1700820693 — DR. MUKESH LATHIA MD
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1114113073 — MR. WILLIAM HOWARD LORDEN PA-C
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Practice Fax:
1952598948 — MS. STEPHANIE SUE STEVENSON
Practice Location Address:
690 S TRUMBULL ST
BAY CITY, MI
48708-7692
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1619159555 — HOLLY ELIZABETH HARRISON LMSW
Practice Location Address:
690 S TRUMBULL ST
BAY CITY, MI
48708-7692
Practice Phone: 989-922-5700
Practice Fax:
1952555856 — DR. CRAIG RODNEY FORD DMIN, MA
Practice Location Address:
690 S TRUMBULL ST , SUITE 2
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Directions to “ LETICIA SLATES ” Practice Location

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