Kelly R Slocum

NPI #1598360703 in Lithia, Florida

Provider Information

NPI Number: 1598360703
Entity Type: Individual
Name: Kelly R Slocum
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 3, 2020
Last Updated: Dec 3, 2020

Practice Location

Address: 5454 LITHIA PINECREST RD
City: Lithia
State: Florida
ZIP Code: 33547-2853
Phone: (866) 610-0580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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