Individual
DR. PAUL WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1107 BELLEVIEW ST, COLUMBIA, SC 29201-1810
(803) 445-5211
Mailing address
344 CLEARVIEW DR, COLUMBIA, SC 29212-8310
(803) 445-5211
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6450
SC
Other
Enumeration date
08/10/2017
Last updated
08/10/2017
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