Individual
MS. CAROL SLADE
Active
Individual
MS. CAROL SLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
101016
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1004745
NHP
—
01
—
1303287
MBHP
MA
05
—
1303287
—
MA
01
—
703136
TUFTS
—
01
—
M18633
BCBS
MA
01
—
NP01332
BOSTON MED
—
01
—
P10329
BCBS
MA
Enumeration date
10/23/2006
Last updated
07/08/2007
Update your record
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