Wade Durham, LCSW

NPI #1700809936 in Arcadia, Florida

Provider Information

NPI Number: 1700809936
Entity Type: Individual
Name: Wade Durham, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Jul 26, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 725 N 12TH AVE
City: Arcadia
State: Florida
ZIP Code: 34266-8752
Phone: (863) 494-1242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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