Brook Wade

NPI #1841065679 in Dixon, Illinois

Provider Information

NPI Number
1841065679
Entity Type
Individual
Name
Brook Wade
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Nov 21, 2023
Last Updated
Nov 21, 2023

Practice Location

Address
1319 N GALENA AVE
City
Dixon
ZIP Code
61021-1009
Phone
(815) 627-0868

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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