Shanita Wade
NPI #1265737951 in East Lansing, Michigan
Provider Information
- NPI Number
- 1265737951
- Entity Type
- Individual
- Name
- Shanita Wade
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Enumeration Date
- Jan 11, 2011
- Last Updated
- Mar 29, 2023
Practice Location
- Address
- 411 W LAKE LANSING RD STE A100
- City
- East Lansing
- State
- Michigan
- ZIP Code
- 48823-8404
- Phone
- (517) 798-3717
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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