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1104139682
WADE PSYCHOLOGICAL SERVICES INC.
GOSHEN, IN
NPI
1104139682
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Entity Type
Organization
Authorized Contact
STEFANIE WADE
Owner
574-534-2161
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IN 20042314A)
Enumeration Date
2010-07-26
Last Update Date
2010-07-26
Business Address
WADE PSYCHOLOGICAL SERVICES INC.
1930 W LINCOLN AVE
GOSHEN, IN 46526-5907
Phone number: 574-534-2161
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Mailing Address
WADE PSYCHOLOGICAL SERVICES INC.
1930 W LINCOLN AVE
GOSHEN, IN 46526-5907
Phone number: 574-534-2161
Copy
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