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NPI Code Detail

MEDICARE: KATHERINE SLAUGHTER LGSW

MEDICARE: KATHERINE SLAUGHTER LGSW
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 Worker32651MN
21041S0200XSchool Social Worker

General Provider Information

NPI Number : 1275251928
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE SLAUGHTER LGSW
Provider Business Mailing Address
First Line : 415 4TH AVE SE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55414-1761
Country : US
Telephone Number : 612-314-9778
Fax Number :
Provider Business Practice Location Address
First Line : 1250 W BROADWAY AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55411-2533
Country : US
Telephone Number : 612-668-0254
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2022
Last Update Date : 12/15/2025

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Directions to “ KATHERINE SLAUGHTER LGSW” Practice Location

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