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1891376117
JESSICA LEIGH WADE
DENTON, TX
NPI
1891376117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: TX 76989)
Additional Taxonomies
101YS0200X Counselor School
Enumeration Date
2021-04-19
Last Update Date
2021-04-19
Business Address
JESSICA LEIGH WADE MED
3609 ANTLER CIR
DENTON, TX 76208-3431
Phone number: 469-585-1848
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Mailing Address
JESSICA LEIGH WADE MED
3609 ANTLER CIR
DENTON, TX 76208-3431
Phone number: 469-585-1848
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