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1164573697
JEANINE WADE
ROUND ROCK, TX
NPI
1164573697
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: TX 24694)
Enumeration Date
2007-01-12
Last Update Date
2007-07-08
Business Address
Ms. JEANINE WADE PhD
400 W MAIN AVE SUITE 211
ROUND ROCK, TX 78664-5808
Phone number: 512-860-2963
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Mailing Address
Ms. JEANINE WADE PhD
400 W MAIN AVE SUITE 211
ROUND ROCK, TX 78664-5808
Phone number: 512-860-2963
Copy
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