MR. Jonathan Richard Wade SR., LCSW

NPI #1861416927 in Bay Pines, Florida

Provider Information

NPI Number
1861416927
Entity Type
Individual
Name
MR. Jonathan Richard Wade SR., LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Jul 26, 2006
Last Updated
Aug 12, 2008

Practice Location

Address
10000 BAY PINES BLVD.
Address 2
DOM C-180
State
Florida
ZIP Code
33744
Phone
(727) 398-6661

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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