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1730701855
CRYSTAL WADE
FISHERS, IN
NPI
1730701855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Additional Taxonomies
1041C0700X Social Worker Clinical
Enumeration Date
2020-05-12
Last Update Date
2022-02-22
Business Address
CRYSTAL WADE LSW
13926 BOULDER CANYON DR
FISHERS, IN 46038-5361
Phone number: 317-514-5049
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Mailing Address
CRYSTAL WADE LSW
PO BOX 30591
INDIANAPOLIS, IN 46230-0591
Phone number:
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