ANTONIO SHADE

WEST VALLEY CITY, UT
NPI1497518716
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: UT  13752698-3502)
Enumeration Date2024-01-31
Last Update Date2025-10-27
Business Address
ANTONIO SHADE CSW
3737 W 4100 S
WEST VALLEY CITY, UT 84120-5543
Phone number: 888-949-4864
Mailing Address
ANTONIO SHADE CSW
3725 W 4100 S STE 201
WEST VALLEY CITY, UT 84120-6490
Phone number: 801-428-4257
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