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Individual
LATONIA MECHELLA WADE
Active
Individual
LATONIA MECHELLA WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
42331
TX
171M00000X
Case Manager/Care Coordinator
S42331
TX
Other
Enumeration date
10/20/2010
Last updated
12/21/2023
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