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Individual
WADE MCINTYRE
Active
Individual
WADE MCINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-MH
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCMH2219
SD
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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