Individual
LARAE A WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW-S
Contact information
Practice address
190 LIME QUARRY RD SUITE 107, MADISON, AL 35758-8975
(256) 862-3385
Mailing address
9032 MEMORIAL PARKWAY, SUITE A, #1012, HUNTSVILLE, AL 35802-3013
(256) 658-3430
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5304C
AL
Other
Enumeration date
04/07/2022
Last updated
03/19/2025
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