Individual
AKIA T WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 CONNECTICUT AVE NW STE 224, WASHINGTON, DC 20008-5702
(202) 930-1925
Mailing address
3110 81ST AVE, HYATTSVILLE, MD 20785-2701
(240) 354-1194
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSYA00233
DC
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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