Individual
SUSAN WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
THE CROSSINGS AT IRONBRIDGE, 6701 IRONBRIDGE PKWY, CHESTER, VA 23831
(804) 748-7000
Mailing address
4824 GLENMORGAN CT, CHESTER, VA 23831-6596
(571) 278-1456
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202003283
VA
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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