Stephen Daniel Slack
Stephen Daniel Slack is a Contractor in Shreveport, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
458 W 61st StShreveport, LA 71106-2511
Phone: (318) 510-1141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Contractor (primary) | Taxonomy 171W00000X |
|---|
Record details
| NPI number | 1386141539 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 12, 2018 |
| Last updated in NPPES | April 12, 2018 |
| Mailing address | 458 W 61st St, Shreveport, LA 71106-2511 |
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