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Individual

SUSAN MARIE WADE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10701 MONTGOMERY BLVD NE STE D&F, ALBUQUERQUE, NM 87111-3816
(505) 477-6155
Mailing address
11229 MALAGUENA LN NE, ALBUQUERQUE, NM 87111-6829

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
04/18/2026
Last updated
04/18/2026
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