Individual
MS. WENDY JO WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
818 GOLDEN WAY NW, ISANTI, MN 55040-6508
(763) 444-6647
Mailing address
39267 HEMINGWAY AVE, NORTH BRANCH, MN 55056-5352
(952) 261-5335
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1186
MN
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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