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1336207182
BRIAN WADE
COMMACK, NY
NPI
1336207182
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY R037491-1)
Enumeration Date
2006-12-05
Last Update Date
2007-07-08
Business Address
Mr. BRIAN WADE L.C.S.W
283 COMMACK RD SUITE 125
COMMACK, NY 11725-6021
Phone number: 631-421-2547
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Mailing Address
Mr. BRIAN WADE L.C.S.W
39 E 16TH ST
HUNTINGTON STATION, NY 11746-2931
Phone number: 631-271-7226
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