Slagle, Mary Kathryn

Slagle, Mary Kathryn is an individual health care provider with primary practice located at #6 Sixth St Suite 205, Bristol TN 37620. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Slagle, Mary Kathryn can be contacted via phone (423) 968-2225.

Contact Information

Primary practice address
#6 Sixth St Suite 205 Bristol TN 37620
Phone: (423) 968-2225
Fax: (423) 968-2225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LSW0000003958 Tennessee
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904004885 Virginia

Profile Details

NPI number 1962562660
LBN Legal business name Slagle, Mary Kathryn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962562660 NPPES
Virginia MEDICAID 8930104

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