Individual
MICHAEL KEITH SLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
2872 S HIGHLAND DR, SALT LAKE CITY, UT 84106-3147
(801) 485-8051
Mailing address
4660 S BROOKWILLOW CV APT F, MILLCREEK, UT 84117-8030
(801) 830-8643
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
UT
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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