Crystal Nicole Tucker Wade
NPI #1154193183 in West Lafayette, Indiana
Provider Information
- NPI Number
- 1154193183
- Entity Type
- Individual
- Name
- Crystal Nicole Tucker Wade
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Oct 24, 2023
- Last Updated
- Oct 24, 2023
Practice Location
- Address
- 1305 CUMBERLAND AVE STE 225
- City
- West Lafayette
- State
- Indiana
- ZIP Code
- 47906-1343
- Phone
- (317) 709-4240
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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