CHADWICK J SHADE

ELMENDORF AFB, AK
NPI1255658860
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MO  PSY0091)
Enumeration Date2010-04-23
Last Update Date2010-04-23
Business Address
Dr. CHADWICK J SHADE PHD
5955 ZEAMER AVENUE 3RD MDG
ELMENDORF AFB, AK 99506
Phone number: 907-580-2181
Mailing Address
Dr. CHADWICK J SHADE PHD
5955 ZEAMER AVENUE 3RD MDG
ELMENDORF AFB, AK 99506
Phone number: 907-580-2181
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