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1386141349
DEIANDRA SHANEYCE WADE
GREENSBORO, NC
NPI
1386141349
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A13096)
Enumeration Date
2018-04-06
Last Update Date
2018-04-06
Business Address
DEIANDRA SHANEYCE WADE LPCA
3409 W WENDOVER AVE STE I
GREENSBORO, NC 27407-1579
Phone number: 336-897-2375
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Mailing Address
DEIANDRA SHANEYCE WADE LPCA
1311 ELMER ST
GREENSBORO, NC 27405-5801
Phone number: 336-324-6333
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