Individual
ARETHA WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.E.D
Contact information
Practice address
2837 W 30TH ST, BROOKLYN, NY 11224-1803
(917) 304-1696
Mailing address
2837 W 30TH ST, BROOKLYN, NY 11224-1803
(917) 304-1696
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/19/2012
Last updated
03/07/2024
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