TYRA WADE

JACKSON, MS
NPI1477735769
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2007-11-29
Last Update Date2022-03-10
Business Address
TYRA WADE
4780 I 55 N STE 105
JACKSON, MS 39211-5542
Phone number: 601-956-4816
Mailing Address
TYRA WADE
4780 I 55 N STE 105
JACKSON, MS 39211-5542
Phone number: 601-956-4816
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