Tequila Lashaun Slocum

NPI #1174724546 in Madison, Alabama

Provider Information

NPI Number: 1174724546
Entity Type: Individual
Name: Tequila Lashaun Slocum
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: May 31, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 9238 MADISON BLVD
City: Madison
State: Alabama
ZIP Code: 35758-9100
Phone: (256) 774-8342

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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