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1396025698
KELLY JENSEN WADE
FREDERICKSBURG, VA
NPI
1396025698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810006297)
Enumeration Date
2011-08-18
Last Update Date
2024-04-08
Business Address
Dr. KELLY JENSEN WADE Psy.D.
4830 SOUTHPOINT DR
FREDERICKSBURG, VA 22407-2606
Phone number: 540-370-4468
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Mailing Address
Dr. KELLY JENSEN WADE Psy.D.
130 EXECUTIVE CENTER PKWY
FREDERICKSBURG, VA 22401-3100
Phone number: 540-699-4969
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