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Individual
MR. MARCUS L WADE
Active
Individual
MR. MARCUS L WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW/LCDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10748
TX
1041C0700X
Clinical Social Worker
Primary
56749
TX
Other
Enumeration date
07/27/2012
Last updated
06/13/2024
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