Individual
JESSICA SLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1747 HERITAGE LN STE B101, SYRACUSE, UT 84075-8546
(385) 439-1926
Mailing address
1747 HERITAGE LN STE B101, SYRACUSE, UT 84075-8546
(801) 510-0022
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
UT
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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