CARRIE JEAN SLACK

GRASS VALLEY, CA
NPI1245716554
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-07-19
Last Update Date2018-07-19
Business Address
CARRIE JEAN SLACK
714 W MAIN ST
GRASS VALLEY, CA 95945-6410
Phone number: 530-477-9800
Mailing Address
CARRIE JEAN SLACK
714 W MAIN ST
GRASS VALLEY, CA 95945-6410
Phone number: 530-477-9800
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