Individual
EMILY KATHERINE SLADICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 SW MARKET ST, PORTLAND, OR 97201-5715
(385) 502-3828
Mailing address
10723 S GRANDVILLE AVE UNIT 2204, SOUTH JORDAN, UT 84009-1861
(385) 502-3828
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12632358-3501
UT
1041C0700X
Clinical Social Worker
C017543
NC
1041C0700X
Clinical Social Worker
TPSW4416
FL
Other
Enumeration date
12/13/2016
Last updated
01/02/2025
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