DORIS WADE

BARTOW, FL
NPI1316263296
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  IMH10069)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2010-04-16
Last Update Date2015-10-29
Business Address
-- DORIS WADE
1255 GOLFVIEW AVE
BARTOW, FL 33830-6736
Phone number: 863-519-0575
Mailing Address
-- DORIS WADE
PO BOX 1559
BARTOW, FL 33831-1559
Phone number: 863-519-0575
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