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Miranda Slack
NPI 1508494220 · on the registry since 2020 · sole proprietor
Practice
- Address
- 525 Frank Thomas Ave Apt 5
Tuscaloosa, AL 35401 - Phone
- (801) 326-9911
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 390200000X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-03-29
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 Alabama