Search › Michigan › 1041C0700X
Samantha Slack, LMSW
NPI 1497069488 · on the registry since 2010
Practice
- Address
- 1440 Torrey Rd Ste E
Fenton, MI 48430 - Phone
- (999) 999-9999
- Organisation at this address
- Agius Psychological Services, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-05-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan