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1104353192
MICHAEL L. SLAVKIN
FORT WAYNE, IN
NPI
1104353192
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 39003541A)
Enumeration Date
2017-05-22
Last Update Date
2019-06-10
Business Address
MICHAEL L. SLAVKIN MA
4646 W JEFFERSON BLVD STE 100
FORT WAYNE, IN 46804-6832
Phone number: 260-436-0932
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Mailing Address
MICHAEL L. SLAVKIN MA
240 N TILLOTSON AVE
MUNCIE, IN 47304-3988
Phone number: 765-288-1928
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