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1861416927
JONATHAN RICHARD WADE
BAY PINES, FL
NPI
1861416927
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Other Name
JONATHAN RICHARD WADE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW8569)
Enumeration Date
2006-07-26
Last Update Date
2008-08-12
Business Address
Mr. JONATHAN RICHARD WADE LCSW
10000 BAY PINES BLVD. DOM C-180
BAY PINES, FL 33744
Phone number: 727-398-6661
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Mailing Address
Mr. JONATHAN RICHARD WADE LCSW
908 PENNSYLVANIA AVE
CLEARWATER, FL 33755-4239
Phone number: 727-398-6661
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