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General NPI Number Information
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NPI Number | 1134009376
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Entity Type | Organization
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Legal Business Name | SLATE FAMILY SERVICES, LLC
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 508 2ND ST SE
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City | YELM
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State | WA
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Zip | 98597-7638
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Country | US
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Telephone | 360-919-4744
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Fax |
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Provider Business Mailing Address
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Address Line | 508 2ND ST SE APT SUITE
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City | YELM
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State | WA
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Zip | 98597-7638
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Country | US
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Telephone | 360-919-4744
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Fax |
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Authorized Official
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Title or Position | FOUNDER/OWNER
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Name | MARIE LEANN FIERRO
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Credential | BSHS, LCMHCA INTERN
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Telephone | 360-464-8656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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