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NPI Code Detail

MEDICARE: CHARLETTA D SLAUGHTER

MEDICARE: CHARLETTA D SLAUGHTER
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 WorkerS.0018106OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1S.0018106OTHEROHCOUNSELOR, SOCIAL WORKER & MFT BOARD

General Provider Information

NPI Number : 1003533142
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLETTA D SLAUGHTER
Provider Business Mailing Address
First Line : 2345 DORR ST
Second Line :
City : TOLEDO
State : OH
Zip : 43607-3423
Country : US
Telephone Number : 419-407-5342
Fax Number :
Provider Business Practice Location Address
First Line : 2345 DORR ST
Second Line :
City : TOLEDO
State : OH
Zip : 43607-3423
Country : US
Telephone Number : 419-407-5342
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2022
Last Update Date : 10/19/2022

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Directions to “ CHARLETTA D SLAUGHTER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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