Individual
CARLI AGNES SLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 S 700 E STE 102, AMERICAN FORK, UT 84003-2485
(801) 683-6830
Mailing address
1051 S 750 W, AMERICAN FORK, UT 84003-4541
(435) 633-5712
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9809542-3501
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/04/2021
Last updated
01/22/2025
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