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1538879838
TARA D WADE
DAYTON, OH
NPI
1538879838
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-11-29
Last Update Date
2022-11-29
Business Address
TARA D WADE
732 BECKMAN ST
DAYTON, OH 45410-2165
Phone number: 937-253-1680
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Mailing Address
TARA D WADE
6025 LEYCROSS DR
DAYTON, OH 45424-3566
Phone number: 937-906-0742
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