| NPI | 1730567405 |
|---|---|
| Former Name | MEREDITH SUZANNE SLOCUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 9924853) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 897) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2018-03-17 |