RENARD WADE

MONTICELLO, NY
NPI1508245788
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  23087)
Enumeration Date2015-05-21
Last Update Date2015-05-21
Business Address
-- RENARD WADE
17 HAMILTON AVE
MONTICELLO, NY 12701-1319
Phone number: 845-794-8080
Mailing Address
-- RENARD WADE
17 HAMILTON AVE
MONTICELLO, NY 12701-1319
Phone number: 845-794-8080
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