Individual
GRIFFIN BRANDT SLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSUDC
Contact information
Practice address
1085 S BLUFF ST, ST GEORGE, UT 84770-5245
(435) 674-9999
Mailing address
1054 WESLEY POWELL DR # 1, SAINT GEORGE, UT 84790-7843
(435) 236-9522
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12433636-6006
UT
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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