Individual
MRS. TAYLOR WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1069 CROWS RUN RD, READER, WV 26167-8658
(304) 815-1197
Mailing address
1069 CROWS RUN RD, READER, WV 26167-8658
(304) 815-1197
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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