Individual
THERESA LYNN WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1606 S JEFFERSON ST APT F8, DUBLIN, GA 31021-3188
(478) 278-0409
Mailing address
1606 S JEFFERSON ST APT F8, DUBLIN, GA 31021-3188
(478) 278-0409
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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