Individual
EMILY WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3290 W BIG BEAVER RD STE 188, TROY, MI 48084-2915
(248) 457-5178
Mailing address
3290 W BIG BEAVER RD STE 188, TROY, MI 48084-2915
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801106020
MI
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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