IVY CHARLOTTE WADE

ARDMORE, OK
NPI1972212561
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor Mental Health
Enumeration Date2022-11-22
Last Update Date2023-05-22
Business Address
IVY CHARLOTTE WADE
2530 S COMMERCE ST BLDG B
ARDMORE, OK 73401-5519
Phone number: 802-265-0485
Mailing Address
IVY CHARLOTTE WADE
2530 S COMMERCE ST BLDG C
ARDMORE, OK 73401-5519
Phone number: 580-226-5048
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