Slack, Samantha Michelle

Slack, Samantha Michelle is an individual health care provider with primary practice located at 1440 Torrey Rd Ste E , Fenton MI 48430. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Slack, Samantha Michelle can be contacted via phone (999) 999-9999.

Contact Information

Primary practice address
1440 Torrey Rd Ste E Fenton MI 48430
Phone: (999) 999-9999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801093973 Michigan

Profile Details

NPI number 1497069488
LBN Legal business name Slack, Samantha Michelle
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2010
Last updated May 24th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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