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Individual
CAROLINE ANN WADE
Active
Individual
CAROLINE ANN WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
04013
KS
101YA0400X
Addiction (Substance Use Disorder) Counselor
01061-T
KS
101YM0800X
Mental Health Counselor
Primary
04013
KS
221700000X
Art Therapist
—
NULL
225800000X
Recreation Therapist
—
NULL
251V00000X
Voluntary or Charitable Agency
—
NULL
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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