MR. Daniel Zane Slade

NPI #1760947386 in Picayune, Mississippi

Provider Information

NPI Number: 1760947386
Entity Type: Individual
Name: MR. Daniel Zane Slade
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Feb 7, 2019
Last Updated: Feb 7, 2019

Practice Location

Address: 2007 WILDWOOD RD
City: Picayune
State: Mississippi
ZIP Code: 39466
Phone: (769) 926-2657

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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