Individual
RICHARD ANDREW SLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 293-8300
Mailing address
3508 SPRINGDALE DR, DAYTON, OH 45419-1129
(937) 232-4162
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2204446-TRNE
OH
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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