Individual
HEATHER LYNNE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
11900 SHELBURNE ST, CALDWELL, ID 83605-7966
(208) 515-6558
Mailing address
1047 S WELLS ST STE 106, MERIDIAN, ID 83642-7997
(208) 297-3428
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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