Individual
AUDREY A SLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2951 E DARTMOUTH ST, MESA, AZ 85213-6907
(480) 326-9942
Mailing address
2951 E DARTMOUTH ST, MESA, AZ 85213-6907
(480) 326-9942
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
AZ
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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