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Individual

MEGAN WADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(319) 343-8139
Mailing address
3644 KNOLLWOOD DR, BEAVERCREEK, OH 45432-2218

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301018959
MI

Other

Enumeration date
12/12/2017
Last updated
12/30/2021
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