Individual
MR. BRENT A WADE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 242-2408
(405) 606-8488
Mailing address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 243-2408
(405) 606-8488
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
8317
OK
Other
Enumeration date
05/30/2017
Last updated
12/06/2024
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