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NPI Code Detail

MEDICARE: KATIE SLAUGHTER BSW/PRSS

MEDICARE: KATIE SLAUGHTER BSW/PRSS
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
1171M00000XCase Manager/Care Coordinator
2175T00000XPeer Specialist

General Provider Information

NPI Number : 1346951886
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATIE SLAUGHTER BSW/PRSS
Provider Business Mailing Address
First Line : 200 12TH STREET EXT
Second Line :
City : PRINCETON
State : WV
Zip : 24740-2329
Country : US
Telephone Number : 304-425-9541
Fax Number :
Provider Business Practice Location Address
First Line : 200 12TH STREET EXT
Second Line :
City : PRINCETON
State : WV
Zip : 24740-2329
Country : US
Telephone Number : 304-425-9541
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2022
Last Update Date : 04/20/2026

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Directions to “ KATIE SLAUGHTER BSW/PRSS” Practice Location

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