SAMANTHA MICHELLE SLACK

FENTON, MI
NPI1497069488
Former NameSAMANTHA LANGSTAFF
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MI  6801093973)
Enumeration Date2010-08-02
Last Update Date2018-05-24
Business Address
SAMANTHA MICHELLE SLACK LMSW
1440 TORREY RD STE E
FENTON, MI 48430
Phone number: 999-999-9999
Mailing Address
SAMANTHA MICHELLE SLACK LMSW
1440 TORREY RD STE E
FENTON, MI 48430-1340
Phone number:
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