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1104354687
BRENT A WADE
OKLAHOMA CITY, OK
NPI
1104354687
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2017-05-30
Last Update Date
2021-03-02
Business Address
Mr. BRENT A WADE
921 NE 13TH ST
OKLAHOMA CITY, OK 73104-5007
Phone number: 405-242-2408
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Mailing Address
Mr. BRENT A WADE
921 NE 13TH ST
OKLAHOMA CITY, OK 73104-5007
Phone number: 405-243-2408
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