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Individual

MERLIN SLADE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
111 W GREENVILLE RD, GREENVILLE, RI 02828-1510
(401) 678-7079
Mailing address
43 GLOUCESTER ST, PROVIDENCE, RI 02908-1407
(914) 621-1731

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
06/21/2023
Last updated
07/22/2024
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