Leon Slocumb, | |
4441 Bragg Blvd, Fayetteville, NC 28303-3862 | |
(910) 864-3096 | |
Not Available |
Full Name | Leon Slocumb |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 36 Years |
Location | 4441 Bragg Blvd, Fayetteville, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598969347 | NPI | - | NPPES |
6002553 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | C0001113 (North Carolina) | Primary |
Entity Name | Professional Family Care Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679799183 PECOS PAC ID: 2567532096 Enrollment ID: O20080610000194 |
Mailing Address | Practice Location Address |
---|---|
Leon Slocumb, 4441 Bragg Blvd, Fayetteville, NC 28303-3862 Ph: (910) 864-3096 | Leon Slocumb, 4441 Bragg Blvd, Fayetteville, NC 28303-3862 Ph: (910) 864-3096 |
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