LEE TYSON WADE

VALDOSTA, GA
NPI1174887483
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies101YP2500X Counselor, Professional
Enumeration Date2012-07-02
Last Update Date2012-07-02
Business Address
-- LEE TYSON WADE LPC
1205 BAYTREE ROAD #8
VALDOSTA, GA 31602
Phone number: 229-244-5533
Mailing Address
-- LEE TYSON WADE LPC
1205 BAYTREE ROAD #8
VALDOSTA, GA 31602
Phone number: 229-244-5533
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