TARA D WADE

DAYTON, OH
NPI1538879838
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-11-29
Last Update Date2022-11-29
Business Address
TARA D WADE
732 BECKMAN ST
DAYTON, OH 45410-2165
Phone number: 937-253-1680
Mailing Address
TARA D WADE
6025 LEYCROSS DR
DAYTON, OH 45424-3566
Phone number: 937-906-0742