Libby Slatton Lcsw Pa | |
550 S Main St Malvern AR 72104-3835 | |
(501) 732-6779 | |
Not Available |
Full Name | Libby Slatton Lcsw Pa |
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Speciality | Social Worker |
Location | 550 S Main St, Malvern, Arkansas |
Authorized Official Name and Position | Elizabeth A Slatton (PRESIDENT/OWNER) |
Authorized Official Contact | 5017326779 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Libby Slatton Lcsw Pa 550 S Main St Malvern AR 72104-3835 Ph: (501) 732-6779 | Libby Slatton Lcsw Pa 550 S Main St Malvern AR 72104-3835 Ph: (501) 732-6779 |
NPI Number | 1871909655 |
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Provider Enumeration Date | 07/01/2014 |
Last Update Date | 04/01/2015 |
Medicare PECOS PAC ID | 7113246059 |
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Medicare Enrollment ID | O20150428000261 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871909655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 5663-C (Arkansas) | Primary |
Provider Name | Elizabeth A Slatton |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1750575726 PECOS PAC ID: 1052533429 Enrollment ID: I20141119002379 |
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