ILENE V SLATER

LYNWOOD, CA
NPI1427180769
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-03-12
Last Update Date2007-07-08
Business Address
-- ILENE V SLATER BA
11315 ATLANTIC AVE
LYNWOOD, CA 90262-3007
Phone number: 310-537-5883
Mailing Address
-- ILENE V SLATER BA
23114 ERIEL AVE
TORRANCE, CA 90505-3156
Phone number: 310-433-9943
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