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1073341624
GRIFFIN BRANDT SLADE
ST GEORGE, UT
NPI
1073341624
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: UT 12433636-6006)
Enumeration Date
2024-07-24
Last Update Date
2024-07-24
Business Address
GRIFFIN BRANDT SLADE LSUDC
1085 S BLUFF ST
ST GEORGE, UT 84770-5245
Phone number: 435-674-9999
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Mailing Address
GRIFFIN BRANDT SLADE LSUDC
1054 WESLEY POWELL DR # 1
SAINT GEORGE, UT 84790-7843
Phone number: 435-236-9522
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