Individual
MRS. J'MIA KAE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
2282 PROVIDENCE PT LN APT 203, WINSTON SALEM, NC 27106-1783
(336) 817-9982
Mailing address
2282 PROVIDENCE PT LN APT 203, WINSTON SALEM, NC 27106-1783
(336) 817-9982
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11423
NC
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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