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1710521307
STACEY L WADE
NEWPORT NEWS, VA
NPI
1710521307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: VA 0904010614)
Enumeration Date
2019-11-06
Last Update Date
2019-11-06
Business Address
MS. STACEY L WADE LCSW
12997 NETTLES DR
NEWPORT NEWS, VA 23602-6913
Phone number: 888-365-6271
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Mailing Address
MS. STACEY L WADE LCSW
5 SALT MARSH QUAY APT B
HAMPTON, VA 23666-7025
Phone number: 757-714-4336
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