MICHAEL BYRON SLACK

TRAVIS AFB, CA
NPI1104939222
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: KS  LSCSW1952)
Enumeration Date2006-08-15
Last Update Date2007-07-08
Business Address
Dr. MICHAEL BYRON SLACK Ph.D
101 BODIN CIR DAVID GRANT MEDICAL CENTER
TRAVIS AFB, CA 94535-1809
Phone number: 707-423-3811
Mailing Address
Dr. MICHAEL BYRON SLACK Ph.D
101 BODIN CIR DAVID GRANT MEDICAL CENTER
TRAVIS AFB, CA 94535-1809
Phone number: 707-423-3811
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