MR. Timothy M. Wade JR., LICSW
NPI #1689224750 in Johnston, Rhode Island
Provider Information
- NPI Number
- 1689224750
- Entity Type
- Individual
- Name
- MR. Timothy M. Wade JR., LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Sep 19, 2019
- Last Updated
- Nov 27, 2024
Practice Location
- Address
- 1443 HARTFORD AVE
- City
- Johnston
- State
- Rhode Island
- ZIP Code
- 02919-3224
- Phone
- (401) 273-8100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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