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1174887483
LEE TYSON WADE
VALDOSTA, GA
NPI
1174887483
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Additional Taxonomies
101YP2500X Counselor Professional
Enumeration Date
2012-07-02
Last Update Date
2012-07-02
Business Address
LEE TYSON WADE LPC
1205 BAYTREE ROAD #8
VALDOSTA, GA 31602
Phone number: 229-244-5533
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Mailing Address
LEE TYSON WADE LPC
1205 BAYTREE ROAD #8
VALDOSTA, GA 31602
Phone number: 229-244-5533
Copy
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