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1114750189
TABATHA DIANE WADE
WEST PLAINS, MO
NPI
1114750189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2024-08-23
Last Update Date
2024-08-23
Business Address
TABATHA DIANE WADE
1137 INDEPENDENCE DR
WEST PLAINS, MO 65775-4221
Phone number: 417-255-8703
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Mailing Address
TABATHA DIANE WADE
1137 INDEPENDENCE DR
WEST PLAINS, MO 65775-4221
Phone number: 417-293-8464
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