Individual
DANIELLE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29398 RECOVERY WAY STE 2, JUNCTION CITY, OR 97448-8447
(541) 858-8170
(541) 858-8167
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
PROFESSIONALLICENSE
—
Other
Enumeration date
10/09/2019
Last updated
07/05/2022
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