Laura A Wade

NPI #1356536189 in Caro, Michigan

Provider Information

NPI Number: 1356536189
Entity Type: Individual
Name: Laura A Wade
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Enumeration Date: Sep 14, 2007
Last Updated: Sep 14, 2007

Practice Location

Address: 2000 CHAMBERS RD
City: Caro
State: Michigan
ZIP Code: 48723-9293
Phone: (989) 673-3191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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