Tabatha Diane Wade

NPI #1114750189 in West Plains, Missouri

Provider Information

NPI Number: 1114750189
Entity Type: Individual
Name: Tabatha Diane Wade
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Aug 23, 2024
Last Updated: Aug 23, 2024

Practice Location

Address: 1137 INDEPENDENCE DR
City: West Plains
State: Missouri
ZIP Code: 65775-4221
Phone: (417) 255-8703

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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