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1003304148
MICHAEL KEITH SLADE
SALT LAKE CITY, UT
NPI
1003304148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2018-04-24
Last Update Date
2018-04-24
Business Address
MICHAEL KEITH SLADE MSW
2872 S HIGHLAND DR
SALT LAKE CITY, UT 84106-3147
Phone number: 801-485-8051
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Mailing Address
MICHAEL KEITH SLADE MSW
4660 S BROOKWILLOW CV APT F
MILLCREEK, UT 84117-8030
Phone number: 801-830-8643
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