Individual
CHRISTOPHER A GLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
500 NORTH HWY 89, BUILLDING 151 LOWER C, PRESCOTT, AZ 86313
(928) 445-4860
(928) 717-7571
Mailing address
500 NORTH HWY 89, BUILLDING 151 LOWER C, PRESCOTT, AZ 86313
(928) 445-4860
(928) 717-7571
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15326
AZ
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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