Jonathon Wade
NPI #1801226451 in Crawfordsville, Indiana
Provider Information
- NPI Number
- 1801226451
- Entity Type
- Individual
- Name
- Jonathon Wade
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Nov 18, 2013
- Last Updated
- Nov 18, 2013
Practice Location
- Address
- 312 DUNN AVE
- City
- Crawfordsville
- State
- Indiana
- ZIP Code
- 47933-3011
- Phone
- (812) 201-6225
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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