Wendy J Shade, LCDCIII, ICADC

NPI #1619995511 in Kettering, Ohio

Provider Information

NPI Number
1619995511
Entity Type
Individual
Name
Wendy J Shade, LCDCIII, ICADC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCDCIII, ICADC
Enumeration Date
Jul 18, 2006
Last Updated
Jun 15, 2009

Practice Location

Address
3017 GLENMERE CT
State
Ohio
ZIP Code
45440-1312
Phone
(999) 999-9999

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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