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1356053409
JENNIFER WADE
MOSCOW, ID
NPI
1356053409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-12-20
Last Update Date
2022-12-20
Business Address
JENNIFER WADE Counselor Intern
317 W 6TH ST STE 208
MOSCOW, ID 83843-2387
Phone number: 208-882-3504
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Mailing Address
JENNIFER WADE Counselor Intern
421 E 6TH ST APT 3
MOSCOW, ID 83843-2954
Phone number: 713-419-5888
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