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Individual
WADE WHEELER
Active
Individual
WADE WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW 000116
CO
1041C0700X
Clinical Social Worker
CSW.00001116
CO
1041C0700X
Clinical Social Worker
CSW0000007045
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW 0000116
DORA
CO
Enumeration date
07/13/2007
Last updated
08/05/2020
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