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1922126580
CHRISTINE MARIE WADE
CORDOVA, TN
NPI
1922126580
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: TN 1803)
Enumeration Date
2007-03-26
Last Update Date
2007-07-08
Business Address
MS. CHRISTINE MARIE WADE LPC
58 TIMBER CREEK DR
CORDOVA, TN 38018-4233
Phone number: 901-566-1971
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Mailing Address
MS. CHRISTINE MARIE WADE LPC
3155 ROSELEIGH DR
SOUTHAVEN, MS 38672-7188
Phone number: 662-801-8230
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