E. L. Slater, Lcsw Llc | |
6808 Bergenline Avenue Suite 201 Guttenber NJ 07093 | |
(201) 840-9047 | |
Not Available |
Full Name | E. L. Slater, Lcsw Llc |
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Speciality | Community/behavioral Health |
Location | 6808 Bergenline Avenue, Guttenber, New Jersey |
Authorized Official Name and Position | Edith Slater (PROVIDER) |
Authorized Official Contact | 2018409047 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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E. L. Slater, Lcsw Llc 44 Knox Avenue Cliffside Park NJ 07010 Ph: () - | E. L. Slater, Lcsw Llc 6808 Bergenline Avenue Suite 201 Guttenber NJ 07093 Ph: (201) 840-9047 |
NPI Number | 1124464862 |
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Provider Enumeration Date | 05/21/2013 |
Last Update Date | 05/21/2013 |
Identifier | Type | State | Issuer |
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1124464862 | NPI | - | NPPES |
268869 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 44SC05453500 (New Jersey) | Primary |