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1619995511
WENDY J SHADE
KETTERING, OH
NPI
1619995511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH 21307)
Enumeration Date
2006-07-18
Last Update Date
2009-06-15
Business Address
-- WENDY J SHADE LCDCIII, ICADC
3017 GLENMERE CT
KETTERING, OH 45440-1312
Phone number: 999-999-9999
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Mailing Address
-- WENDY J SHADE LCDCIII, ICADC
3017 GLENMERE CT
KETTERING, OH 45440-1312
Phone number:
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