Individual
MARY CARR SLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2120 PARK AVE, MINNEAPOLIS, MN 55404-3378
(651) 774-0011
(651) 774-0606
Mailing address
3000 AMES CROSSING RD STE 600, EAGAN, MN 55121-2519
(651) 774-0011
(651) 774-0606
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22057
MN
Other
Enumeration date
11/04/2022
Last updated
08/29/2023
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