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1295076362
ERIC JOSEPH WADE
GLOUCESTER, MA
NPI
1295076362
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-03-13
Last Update Date
2013-03-13
Business Address
Mr. ERIC JOSEPH WADE
298 WASHINGTON ST
GLOUCESTER, MA 01930-4832
Phone number: 978-283-0296
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Mailing Address
Mr. ERIC JOSEPH WADE
298 WASHINGTON ST
GLOUCESTER, MA 01930-4832
Phone number:
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