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1154408243
WADE GREGORY ANDERSON
PALM HARBOR, FL
NPI
1154408243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW 6185)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
-- WADE GREGORY ANDERSON L.C.S.W.
1713 EAGLE TRACE BLVD
PALM HARBOR, FL 34685-3313
Phone number: 727-492-5608
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Mailing Address
-- WADE GREGORY ANDERSON L.C.S.W.
1713 EAGLE TRACE BLVD
PALM HARBOR, FL 34685-3313
Phone number: 727-492-5608
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