Provider Demographics
NPI:1457058513
Name:HUNTER-SLOAN, MAUDE NMN (LCSW)
Entity Type:Individual
Prefix:
First Name:MAUDE
Middle Name:NMN
Last Name:HUNTER-SLOAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 386
Mailing Address - Street 2:
Mailing Address - City:FLOYD
Mailing Address - State:VA
Mailing Address - Zip Code:24091-0386
Mailing Address - Country:US
Mailing Address - Phone:540-392-0179
Mailing Address - Fax:
Practice Address - Street 1:6793 FLOYD HWY S
Practice Address - Street 2:
Practice Address - City:WILLIS
Practice Address - State:VA
Practice Address - Zip Code:24380-4021
Practice Address - Country:US
Practice Address - Phone:540-392-0179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-09
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040112111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical